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Puppy Play & Learn - Intake Form
If you would like to register for our Puppy Play & Learn program, please start by filling out the form below.
PLEASE NOTE:
the weekly cut-off for new registrations is Tuesday at noon. If we receive your intake after our cut-off you'll be added to the schedule the following week or when a spot opens up.
First Name
Last Name
Email
Phone
Please provide your full address.
How did you find out about Puppy Play & Learn? Please provide name so we can thank them.
Dog's Name
Dog's Breed
Dog's DOB (or approx)?
Where did you get your dog? PLEASE PROVIDE FULL NAME of BREEDER, RESCUE, or ADOPTION Organization.
On what date did you get your dog?
Spayed or Neutered
Please select
Female Spayed
Male Neutered
Female Unspayed
Male Unneutered
Has your puppy attended play groups or training classes before?
Classes
Play Groups
Private Training
None
Name of Company/Trainer If You Answered Yes to Above.
Do you consider your puppy
Outgoing
Timid
Nervous
Friendly with People
Fearful of Men or Children
Friendly with Dogs
Nervous of Dogs
Other
Provide details of "other" if applicable.
How many dogs has your puppy met?
None
0-5
5-10
10-20
20-30
Over 50
Over 100
How many people has your puppy met?
None
0-5
5-10
10-20
20-30
Over 50
Over 100
Do you have any specific behaviour concerns with your puppy? Please provide details below.
When did the behaviours start? How long has it been going on?
Are you interested in booking private puppy training to help deal with these challenges?
Yes, I need help
Not at this time
Maybe another time
Does your puppy have any food allergies? Please provide details. If yes, you will need to bring yummy, safe food for your pup!
Yes, I will bring my own treats.
No, your treats are ok to use.
Vet Clinic Name, Vet name (Dr.) and phone number
For the safety of your puppy and the other puppies participating in PUPPY PLAY & LEARN, 1ST SET of vaccinations are required AT LEAST ONE FULL WEEK PRIOR to the session. Please place a check mark next to vaccinations received.
Distemper, Hepatitis, Parainfluenza, Parvovirus (DHPP) - core vaccines, MINIMUM 1st SHOTS REQUIRED to attend
Bordetella (kennel cough) - a non-core vaccine, REQUIRED to attend
Leptospirosis - a non-core vaccine generally given to a puppy aged 6 months or older
Rabies - a non-core vaccine
Lyme Disease - a non-core vaccine
None
To reduce transmission, especially to the facility, we request that puppy's coming into our Puppy Play & Learn group have been treated for fleas, ticks and parasites.
I understand
Do you understand & ACCEPT that we are Fear Free, Science and Reward Based Trainers. We do not use dominance, force, flooding, or corrections. We are not Alpha, nor Pack Leaders.
Please select
Yes
No
I have READ and ACCEPT the Policies As Outlined.
Please select
Yes
No
I have READ and ACCEPT the COVID Policies & Protocols as Outlined
Please select
Yes
No
Do you, or your Dog, have an INSTAGRAM account, so we can tag in our posts? What is it?
Our Puppy Play & Learn Groups are Wednesday & Thursday at 6 and 7pm. Please indicate your preferred day(s)/time(s).
Wednesday at 6pm
Wednesday at 7pm
Thursday at 6pm
Thursday at 7pm
Are you flexible with scheduling if we feel your puppy would be suitable for a day/time other than the one(s) you selected?
Yes, I'm flexible
No, I'm not flexible
I could be if needed
We Would Love to Have a Photo of Your Dog or Puppy
Submit
Thanks for filling out the Puppy Intake form!
We are reviewing your submission now and will be carefully creating groups that will ensure all puppies have a positive experience.
Groups will be confirmed and emailed out to all participants each week by Tuesday.
You'll receive an email shortly that with information on our PPL prices & packages - please check your junk folder if you do not receive it.
Kindly choose your preferred package and remit payment prior to your PPL session.
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Privacy Policy
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