Paws’itive Teams
Voice:(858) 279-7297
Fax:(858) 279-7296
paws@pawsteams.org
San Diego, CA

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Therapy Dog Class Registration

After completing the entire form, click on the SUBMIT button (at the end). You will receive confirmation upon receipt via e-mail. If the class you are registering for is still open, you will be given an address and instructions for sending your deposit.

We cannot reserve a place in the class until the deposit has been received.

Registrant Information
Class Preferred:

Would you like to be waitlisted for an earlier class?:

Yes No

How would you like to receive class information?:

Handler’s Info:

First Name:

Last Name:

Street Address:

City and Zip:

Daytime Telephone:

Evening Telephone:

E-Mail Address:

Verify E-Mail Address:

Website Address:

How you heard about our class:

Emergency Contact (in case a problem were to arise during this class):

Emergency contact phone:

Dog Information
Dog’s Name:

Dog’s Age:

Date of Birth:

Breed/Description:

Gender:

Spayed or Neutered?:

Yes No

Shots Current?:

Yes No

Describe your dog’s previous training: (Participation in this class requires that your dog have successfully passed at least one formal obedience class).

Behavioral Information
Has your dog ever bitten anther dog?:

How does your dog react around other dogs? Please elaborate on any incidents which include any of the following: growling, snapping, snarling, excessive barking at, lunging towards, or biting. Were incidents on or off leash?:

Has your dog ever acted in a threatening or menacing manner towards an individual or group of individuals? Threatening/menacing includes overt staring, growling, snapping, snarling, barking at, lunging toward or biting an individual. Describe below.

Is your dog currently working as a therapy dog?:

Yes No

If yes, please give details and name of program if certified.

Are there any specific age groups that your dog avoids or seems uncomfortable around (i.e. Infants, Adult Women, Adolescents, Adult Men, School Age children, Toddlers, Seniors, Other?) List all that apply and briefly describe below:

Please list the five commands you use most frequently with your dog :

How do you discipline or correct your dog?:

What does your dog do when he/she becomes stressed? What do you do when you recognize signs of stress in your dog?:

Describe why you are interested in this class and what you hope to get out of it:

Please retype this code below :

After completing the entire form, click on the SUBMIT button below. If you have any problems submiting the web form, please use the print version.

Words and Music for: "Together We're Better" © 2006 Marilyn Davis. All rights reserved.
Unauthorized duplication is a violation of applicable laws.
Website © 2006 San Diego Photographer, Pawsitive Teams.