Class Registration

Ruff Starts Class Registration Application

Please fill out all required fields. Registration is complete upon receipt of $200 enrollment fee and approval is based on an assessment interview conducted over the phone.

Your Name:
Zip Code:
Email Address:
Phone Number:
Dog's Name:
Dog's Current Age:
Dog's Breed:
Dog's Gender	MaleFemale
Spayed/Neutered?	YesNo
How many humans will be accompanying the dog to class?
Vet's Name:
Clinic Name:
Are vaccinations up to date?	YesNo
Date of Application: