Perfect in Public – Registration Form

To return to the product purchase page for this class, please click here.

Owner First Name *

Last Name *

Email *

Email

Confirm 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 *

Dog’s Weight *

Vaccinations Status *

Rabies, bordetella/kennel cough, distemper, parvovirus

General Health & Fitness

Recent disease, physical limitations, surgery, etc.

Does your dog exhibit aggressive behaviour toward people or other dogs?

Has your dog every bitten anyone?

If Yes, please describe:

Puppy nipping, no marks, bruising, scrape, puncture, required stitches

Additional Comments:

Name