Trainers who Participate in Socialization Parties (TPSP) aka "The Puppy Socialization Parties": New Puppy?

PLEASE FILL OUT THE FOLLOWING FORM
ONLY IF YOU ARE CURRENTLY A CLIENT
OF A PROFESSIONAL TPSP MEMBER.

Tell Us About You...

Handler:
(Must be over 12.)

Co-Handler (if applicable):
(Child or significant other)

Street Address

City, State, and Zip

Home Phone

Work Phone

Occupation

Spouse Name

Spouse Work Phone

E-mail Address

Referred By:

Tell Us About Your Dog...

Breed:

Dog's Name

Sex Male Female

Is your dog spayed/neutered? Yes No

How old is your dog?

How much does your dog weigh?

Is your dog friendly toward other dogs?

Is your dog friendly toward other people?

Veterinarian:
(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.

          Describe any physical problems, illness
          skin problem, or other condition that your dog has.



          Please tell us what your goals are by
          attending puppy socialization parties.



          Is there anything else that you feel we
           should know about your dog?



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.

Your registration will be sent to the office as soon as you press Submit.


Tell Us About You...
Handler:		(Must be over 12.)
Co-Handler (if applicable):		(Child or significant other)


Street Address
City, State, and Zip
Home Phone
Work Phone
Occupation
Spouse Name
Spouse Work Phone
E-mail Address
Referred By:

Tell Us About Your Dog...
Breed:
Dog's Name
Sex		Male Female
Is your dog spayed/neutered?		Yes No

How old is your dog?
How much does your dog weigh?
Is your dog friendly toward other dogs?
Is your dog friendly toward other people?
Veterinarian: (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.


Describe any physical problems, illness skin problem, or other condition that your dog has.

Please tell us what your goals are by attending puppy socialization parties.

Is there anything else that you feel we should know about your dog?


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. Your registration will be sent to the office as soon as you press Submit.