Dog Enrollment Owners Name* Owner Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Owners email* Dogs Name* Date of Birth* DD slash MM slash YYYY Gender*MaleFemalePrimary Breed*--Afghan HoundAiredale TerrierAkitaAlaskan HuskyAlaskan Klee KaiAlaskan MalamuteAmerican BulldogAmerican Eskimo DogAmerican FoxhoundAmerican Pit Bull TerrierAmerican Staffordshire TerrierAmerican Water SpanielAnatolian Shepherd DogAustralian Cattle DogAustralian KelpieAustralian ShepherdAustralian TerrierBasenjiBasset HoundBeagleBearded CollieBeauceronBedlington TerrierBelgian MalinoisBelgian SheepdogBelgian TervurenBernese Mountain DogBichon FriseBlack and Tan CoonhoundBlack Mouth CurBlack Russian TerrierBloodhoundBluetick CoonhoundBoerboelBologneseBorder CollieBorder TerrierBorzoiBoston TerrierBouvier des FlandresBoxerBoykin SpanielBracco ItalianoBriardBrittanyBrussels GriffonBull TerrierBulldogBullmastiffCairn TerrierCanaan DogCane CorsoCardigan Welsh CorgiCatahoulaCavalier King Charles SpanielCesky TerrierChesapeake Bay RetrieverChihuahuaChinese CrestedChinese Shar-PeiChow ChowClumber SpanielCocker SpanielCollieCoton De TulearCurly-Coated RetrieverDachshundDalmatianDandie Dinmont TerrierDanish/Swedish FarmdogDoberman PinscherDogo ArgentinoDogue de BordeauxEnglish Cocker SpanielEnglish FoxhoundEnglish SetterEnglish ShepherdEnglish Springer SpanielEnglish Toy SpanielEntlebucher SennenhundField SpanielFinnish SpitzFlat-Coated RetrieverFrench BulldogGerman PinscherGerman Shepherd DogGerman Shorthaired PointerGerman SpitzGerman Wirehaired PointerGiant SchnauzerGlen of Imaal TerrierGolden RetrieverGordon SetterGreat DaneGreat PyreneesGreater Swiss Mountain DogGreyhoundHarrierHavaneseIbizan HoundIrish SetterIrish TerrierIrish Water SpanielIrish WolfhoundItalian GreyhoundJack Russell TerrierJapanese ChinKeeshondKerry Blue TerrierKomondorKuvaszLabrador HuskyLabrador RetrieverLakeland TerrierLeonbergerLhasa ApsoLöwchen,MalteseManchester TerrierMastiffMi KiMiniature Bull TerrierMiniature English BulldogMiniature PinscherMiniature SchnauzerMixed BreedNative American Indian DogNeapolitan MastiffNewfoundlandNorfolk TerrierNorrbottenspetsNorwegian ElkhoundNorwich TerrierNova Scotia Duck Tolling RetrieverOld English SheepdogOtterhoundPapillonParson Russell TerrierPatterdale TerrierPekingesePembroke Welsh CorgiPetit Basset Griffon VendéenPharaoh HoundPit BullPlottPointerPolish Lowland SheepdogPomeranianPoodlePortuguese Water DogPresa CanarioPugPuliRat TerrierRedbone CoonhoundRhodesian RidgebackRoman RottweilerRottweilerSaint BernardSalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShiba InuShih TzuSiberian HuskySilky TerrierSkye TerrierSmooth Fox TerrierSoft Coated Wheaten TerrierSpinone ItalianoStabyhounStaffordshire Bull TerrierStandard Schnauzer,Sussex SpanielSwedish VallhundTamaskanTibetan MastiffTibetan SpanielTibetan TerrierToy Fox TerrierTransylvanian HoundVizslaWeimaranerWelsh SheepdogWelsh Springer SpanielWelsh TerrierWest Highland White TerrierWest Siberian LaikaWhippetWire Fox TerrierWirehaired Pointing GriffonXoloitzcuintliYorkshire TerrierSecondary Breed--NoneAfghan HoundAiredale TerrierAkitaAlaskan HuskyAlaskan Klee KaiAlaskan MalamuteAmerican BulldogAmerican Eskimo DogAmerican FoxhoundAmerican Pit Bull TerrierAmerican Staffordshire TerrierAmerican Water SpanielAnatolian Shepherd DogAustralian Cattle DogAustralian KelpieAustralian ShepherdAustralian TerrierBasenjiBasset HoundBeagleBearded CollieBeauceronBedlington TerrierBelgian MalinoisBelgian SheepdogBelgian TervurenBernese Mountain DogBichon FriseBlack and Tan CoonhoundBlack Mouth CurBlack Russian TerrierBloodhoundBluetick CoonhoundBoerboelBologneseBorder CollieBorder TerrierBorzoiBoston TerrierBouvier des FlandresBoxerBoykin SpanielBracco ItalianoBriardBrittanyBrussels GriffonBull TerrierBulldogBullmastiffCairn TerrierCanaan DogCane CorsoCardigan Welsh CorgiCatahoulaCavalier King Charles SpanielCesky TerrierChesapeake Bay RetrieverChihuahuaChinese CrestedChinese Shar-PeiChow ChowClumber SpanielCocker SpanielCollieCoton De TulearCurly-Coated RetrieverDachshundDalmatianDandie Dinmont TerrierDanish/Swedish FarmdogDoberman PinscherDogo ArgentinoDogue de BordeauxEnglish Cocker SpanielEnglish FoxhoundEnglish SetterEnglish ShepherdEnglish Springer SpanielEnglish Toy SpanielEntlebucher SennenhundField SpanielFinnish SpitzFlat-Coated RetrieverFrench BulldogGerman PinscherGerman Shepherd DogGerman Shorthaired PointerGerman SpitzGerman Wirehaired PointerGiant SchnauzerGlen of Imaal TerrierGolden RetrieverGordon SetterGreat DaneGreat PyreneesGreater Swiss Mountain DogGreyhoundHarrierHavaneseIbizan HoundIrish SetterIrish TerrierIrish Water SpanielIrish WolfhoundItalian GreyhoundJack Russell TerrierJapanese ChinKeeshondKerry Blue TerrierKomondorKuvaszLabrador HuskyLabrador RetrieverLakeland TerrierLeonbergerLhasa ApsoLöwchen,MalteseManchester TerrierMastiffMi KiMiniature Bull TerrierMiniature English BulldogMiniature PinscherMiniature SchnauzerMixed BreedNative American Indian DogNeapolitan MastiffNewfoundlandNorfolk TerrierNorrbottenspetsNorwegian ElkhoundNorwich TerrierNova Scotia Duck Tolling RetrieverOld English SheepdogOtterhoundPapillonParson Russell TerrierPatterdale TerrierPekingesePembroke Welsh CorgiPetit Basset Griffon VendéenPharaoh HoundPit BullPlottPointerPolish Lowland SheepdogPomeranianPoodlePortuguese Water DogPresa CanarioPugPuliRat TerrierRedbone CoonhoundRhodesian RidgebackRoman RottweilerRottweilerSaint BernardSalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShiba InuShih TzuSiberian HuskySilky TerrierSkye TerrierSmooth Fox TerrierSoft Coated Wheaten TerrierSpinone ItalianoStabyhounStaffordshire Bull TerrierStandard Schnauzer,Sussex SpanielSwedish VallhundTamaskanTibetan MastiffTibetan SpanielTibetan TerrierToy Fox TerrierTransylvanian HoundVizslaWeimaranerWelsh SheepdogWelsh Springer SpanielWelsh TerrierWest Highland White TerrierWest Siberian LaikaWhippetWire Fox TerrierWirehaired Pointing GriffonXoloitzcuintliYorkshire TerrierIs your dog spayed or neutered?*--YesNoPrevious training history (Please state any of your dog's previous training and location of training.)Primary Behavior / Training Issues (Please provide your dog's behavior and or training issues)Has your dog ever bitten anyone?*NoYesI don't knowWhat are the circumstances if your dog bit someone?How many additional pets are in the home? Veterinary Clinic Name and addressVet's Phone number Please provide details on your dogs current vaccinesProvide vaccine name and expiry dateCurrent medicationsReason for medsImportant medical historyLiability Waiver* I have read and understand the Liability Waiver for the classes.Thinking Dogs LLC will endeavor to create as safe an environment as possible for the training of my dog and will offer only sound, safe, and responsible training and training instructions. However, I recognize that Thinking Dogs LLC is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times and I hereby agree to indemnify and hold harmless Thinking Dogs LLC of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Thinking Dogs LLC’s instruction or control and under my own care as a result of following training instructions. I have been told by Thinking Dogs LLC and understand the inherent risks of owning a dog, including but not limited to the risk of dog bites to myself or others.Photo / Video Release I have read and agree to the terms belowI grant permission to Thinking Dogs LLC and its legal representatives and assigns, the irrevocable and unrestricted right to use, publish and broadcast my photograph(s), likeness and voice for trade, advertising, and any other purpose and in any manner and medium; and to alter the same without restriction. I hereby release Thinking Dogs LLC and its legal representatives and assigns from all claims and liability relating to said photograph(s), likeness and voice.Thinking Dogs LLC uses MailChimp to keep clients up to date on class times, locations, and cancellations. Do you agree to receive notices from MailChimp?* Yes No