Helping you enjoy a lifetime
of happiness with your dog!

Class Registration Form (New Dogs Only)

Use this form if this is your first class at Gemini Dogs. If you have taken classes with us previously, use the Express Registration form. If you are a daycare or boarding dog and this is your first class, you still must complete this form.

There are no refunds after class begins. There is a fee for dropping out or switching classes within 36 hours of the start time. * Required fields

Full Name (Handler)*	Must be over 12 years old
Full name (Co-Handler)	Child, spouse, partner, etc.
Street address1
Street address2
City
	State Zip Code

Home phone*
Work phone
Cell phone
Email address*

Spouse/partner name
How did you hear about Gemini Dogs?	Other:

Name*
Breed*
Sex	Male Female
Is your dog spayed or neutered?	Yes No If your dog is not yet spayed or neutered, consider your class schedule when scheduling surgery.
Age*
Birth date	(mm/dd/yyyy)
Weight	(lb)
Veterinarian or name of animal hospital	We do not require that you provide us with copies of your dog's vaccination records. We can contact your vet directly.
Is your dog friendly toward other dogs?*
Is your dog friendly toward other people?*

Where did you obtain your dog? Be as specific as possible.
How old was your dog when you got him?
Is this your first dog?	Yes No
What brand of food do you feed your dog?
Do you have young children at home? If so, what are their ages?
Are you using a crate at home?	Yes No
Is your dog housetrained?	Yes No
Check any problems that you are currently having with your dog:	Chewing Jumping up Pulling on leash Puppy biting Running away Stealing food or objects
What does your dog do when you:	Take toys away from him Approach him when he is eating Touch his neck or collar Touch him when he is sleeping
Describe any physical problem, illness, skin problem, or other condition that your dog has.
Why are you enrolling in class?
Is there anything else that you feel we should know about your dog?

What classes have you completed with this dog at Gemini Dogs?*
Is this dog clicker-trained?	Yes No
Where else have you trained (facility or trainer name)?
What classes have you completed with this dog (elsewhere)?
When did you complete those classes?

Would you like to save about 10% by purchasing a class package plan?	Yes No
Obedience classes
Other classes
Day*
Date*
Time*
Promo code

I have read and agree to the terms of the Waiver, Assumption of Risk, and Agreement to Indemnify and Hold Harmless.

Type your name in the box to indicate your acceptance of the waiver.*