Reactive Rover -Info Form
Thank you for your interest in our training classes. Please fill out the form with basic information about your dog.
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Full Name
Mailing Address
Preferred Phone Number
Email Address
Dog's Name
Age
Breed
Gender
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Is your dog spayed/neutered?
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Your dog was acquired from (select all that apply)
How long have you had this dog?
How did you hear about this class?
Are all of the animals in your home spayed/neutered?
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If no, would you like to be put on Mountain Humane's no cost spay/neuter list?
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If yes to the prev question, please select all that apply for the animal you would like to be added to the spay/neuter list.
Does your dog have any physical limitations, medical problems, or allergies? If yes, please describe
Is your dog on medication now? If yes, please describe
Has your dog ever been in a fight with another dog?
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If yes, was either dog injured/bleeding?
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If your dog has been in a fight with another dog, please describe the incident(s).
What does your dog do when they see another dog? Select all that apply, even if it's not with every single dog.
What does your dog do when a stranger approaches them? Select all that apply, even if it's not with every single stranger.
Will your dog be fully up-to-date on their rabies and DHPP vaccines before they come to class?
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What are you hoping to get out of this class?
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