Help for Hooligans – Registration Form

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First Name *

Last Name *

Email *

Phone Number *

Address

City *

How did you hear about Fuzzy Buddy?

If you heard about us from friends or family, please let me know who so I can thank them!

Dog’s Name *

Gender *

Breed

Dog’s Age *

Weight *

Vaccinations Status *

Rabies, bordetella/kennel cough, distemper, parvovirus

General Health & Fitness *

Medications, recent disease, physical limitations, etc.

What are your dog’s known triggers for hyperactivity? *

Dogs
People
Other

Choose all that apply

Describe other known triggers:

Has your dog every bitten another dog? *

Has your dog every bitten a human?

For the safety of all participants I agree to comply with the recommendations for equipment and training methods as advised by Fuzzy Buddy Dog Training. I understand that failure to contribute to the safety of all other participants is grounds for removal from the class. *

Phone

Help for Hooligans – Registration Form

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