The Puppy Center Day School Registration
Email address *
First Name: *
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Last Name: *
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Phone: *
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Email Address: *
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How did you find out about us? *
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Mailing Address (Street, Town, State, ZIP) *
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Veterinarian: *
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Emergency Contact Name & Phone Number (this person can make medical decisions for your pup): *
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Puppy's Name: *
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Puppy's DOB: *
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Puppy's Breed: *
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Is Your Puppy Male or Female? *
Puppy's Current Weight: *
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VACCINATIONS: Has your puppy had his first set of core vaccinations canine distemper-parvo combo? Has your puppy had these vaccinations boosted every 3-4 weeks? Has your puppy had the bordetella/kennel cough vaccine? *
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Is your puppy Neutered/Spayed? *
If your pup is not yet spayed/neutered, when do you plan to do so? *
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Where did you get your puppy (name of breeder, rescue, shelter name and location)? *
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CRATING: In what situations are you crating your puppy? *
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HOUSE TRAINING: Do you have any concerns with the process? *
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FOOD: What are you feeding your puppy? *
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DIETARY RESTRICTIONS: Does your puppy have any dietary restrictions? If "yes," please describe. *
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CLASSES: Are you enrolled in a puppy class? If so, where? *
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SKILLS: What skills have you been teaching your puppy? *
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TRAINING: What are your GOALS for your puppy? (agility, therapy dog, happy family member, etc.) *
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BEHAVIOR: How does your pup get along with other dogs? Can he/she share toys and water bowls? Does he/she mount or pin other pups? *
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CHILDREN: Do you have children at home? If so, what are their ages? *
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PETS: What other pets do you have at home? What are their ages? *
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