EmailMe Form - PupTown Dog Training

Your Name
(Not your Dog's Name) *
First Last
Email *

Confirm
Phone *
### - ### - ####
Best daytime number to reach you at
Training Options *
Please select which program you are interested in.
Class Start Date
MM / DD / YYYY
If not known, leave blank
Dog's Name *
Breed of Dog *
If you are not sure, please guess.
Dog Gender *
Male
Neutered Male
Female
Spayed Female
Age of Dog or Puppy *
Behavior History
My dog has been aggressive towards people
My dog has been aggressive towards animals
My dog is fearful
I don't know the history of my dog
I don't have concerns about my dog
My dog has bitten person(s) and/or pet(s)
My dog guards toys
My dog guards food/bowls etc
Excessive barking
Other - List in the Comments section please
Please check all that apply. For concerns not listed here, please add them to the Comments section. Thank you.
Comments
If you are booking training in daycare, please list your concerns here.
Whom May We Thank For Referring You? *
I understand that PupTown reserves the right to refuse and/or dismiss any dog that poses a risk to others. I acknowledge that I will read the terms and provisions of the waiver upon arrival. I acknowledge that the cancellation policy requires five days written notice prior to the class start date and that a $50+hst administration fee is retained. Not transferable. *
CHECK THIS BOX WITH ANY KEY
I agree to the terms and conditions on this form and have read, understood and agreed to the Policies and Other Information provided on the website.

*Please note the cancellation policy. No refunds will be given outside of the policy statement, especially once a program has commenced. You are paying for your spot in the program that runs on the selected start date. It has limited enrollment and this is the session for which you are paying for.
Please note that if you do not agree, your registration will not be accepted. You will be asked to sign the waiver prior to the commencement of the program.

NOTE: PupTown does not accept aggressive dogs for class or any other service offered. If you have an aggression problem, please call us at 519-603-DOGS and we will attempt to assist or refer you. *
I acknowledge that in Kinderpuppy and Obed/Manners Class that there are no dogs the first class and that the time of that class may be different than the following weeks.
You will receive an automated email from us that includes a document to prepare you for class. Please ensure you read it thoroughly. In Kinderpuppy and Basic Level Obedience and Manners programs, there are no dogs in the first class. This is a theory class and could be up to 2 hours in length. This class is mandatory and essential the success of the program.
Signature Required

I understand that attendance to a dog facility/program is not without risk to myself, my family and my dogs. I agree to hold harmless the business, its employees, landlord, agents and associates.

My dog has not been imported from Asia and did not come from a rescue group that imports dogs from Asia. My dog has also not been in contact with dogs imported from Asia in the past 3 months. *
Clear
SIGNATURE
You can use your mouse or touchpad to sign. Smartphones - can sign using onscreen touch.
PROMO CODE
If you have one that is valid, it must be entered at time of registration.
Payment Options

For Classes- Only paid registrations are considered to be complete.

For Private and Daycare Time training, you can pay in the store. Thanks! *
Will Pay Online via link in auto reply email
Will send etransfer to Wagwaterloo@gmail.com (multiply class fee X 1.13 to get the total with HST
I will pay in store and understand my registration is not complete until payment is received.
You will receive an automated Email. Please check your SPAM folders! This will give you the information you need for payment online and prepare you for the program.
In the store we accept cash, credit/debit.