English / Español

 

Puerto Rico Dogs - Private Class Registration

*Use TAB to navigate the form. Pressing ENTER submits the form.

What service are you interested in?: Other:

Name of Guardian:

Refered By:

Address: City:  State: Zip:

Home phone:    Work phone: Cel phone:

Email:

How did you hear about Puerto Rico Dogs?: 

 

Dog Information

Name:  Date of birth:

Breed: Sex:

Is dog neutered/spayed? Neutered/spayed date:

Where/How and at what age was dog acquired?:

Other?:

 

Dog's previous training experience:

 

Where was dog previously trained and by who? (Please indicate if we can contact this person for imformation):

 

Describe your household (Pleas list ALL members of household by name, gender and age. List any other pets, and indicate their type, breed or approximate size, age, and temperament. Indicate those with whom your dog has a particular problem.):

 

Dog's daily routine (Please describe your dog's habits, and how he lives (is he loose inside the house, in the yard, or kenneled; is he house and potty trained; does he eat his meals at a particular time, or has food available all day; how much exercise does he get; etc.):

 

Problems (Please describe (in as much as possible) problems you have with your dog. Indicate the most recent incidence of these problems.):

 

Things Tried (Please list things that you've tried to work on these problems and how they have worked, or not (training protocols used, medication tried, etc.):

 

Availability (Please enter the days and time in which you are available for the training sessions):

 

Notes (Please use this space to give us any other pertinent information for your dog (history, background, perceived temperament, fears, anxieties, quirks, reactions, etc.):

 

By clicking on the SUBMIT button, you confirm you have read and agree with Puerto Rico Dogs' policies.