Registration for an online training coursePlease enable JavaScript in your browser to complete this form.About YouName *FirstLastChoose your puppy's stage in life: *Puppy (between the ages of 8 weeks to 4 months)Adolescent (young dogs between the ages of 4 month to 2 years)Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEnvironment (house, apartment; yard, no yard, fenced-in yard; etc.) *Phone *2nd phone numberEmail *2nd email addressHow many adults in the family? *How many children in the family & what are their ages?About Your DogDog's name *Dog's Date of Birth *Date You Acquired the Dog *Dog's breed or breed type *Dog's Gender *FemaleMaleIs your dogSpayed or neuteredIntactAre there other animals in the house?For each animal, please give the animal's species, name and age.Top Three Problem Areas1,2,3.What do you hope to get out of this class?How did you hear about A Better Pet?Anything else you’d like us to know about you or your dog prior to class starting? (I.e., special needs children, moving, other dogs in the home, etc.)How did you hear about us?Google SearchFrom a friendA news articleI attended one of your eventsWord of mouthFrom a breeder, vet or other professionalOtherIf you found us on Google, what words were you searching for?Who should we thank for referring you to us?Puppy Course Release and AgreementPlease click here to read A Better Pet, LLC's Image Release and Online Training Agreement. Then return to this registration form to indicate your agreement and sign the form. (You can also download the Remote Training Agreement and Image & Likeness Release in PDF format.)I agree to the terms of A Better Pet, LLC's Image Release and Online Training Agreement. *Yes, I agreeSignature *Clear SignaturePlease sign in the box.NameSubmit
