Register for Rowdy & Reactive: Rehab Owner's First Name Owner's Last Name Owner's email Owner's Phone Dog's Name Dog's Breed Dog's Age Dog's Sex Male Intact Male Neuter Female Intact Female Neuter Veterinarian or Clinic Name Veterinarian or Clinic Phone Does your dog have any dietary or medical restrictions? Vaccinations: We need to verify that all dogs in the class are up-to-date with vaccinations. For more information about the vaccines we require to start class click here. You may upload proof of vaccination within this form, or you may bring your records to your first class. How would you like to show us your vaccine record? Upload Bring to Orientation Upload Dog Vaccination File(PDF, image from screenshot, smartphone camera, etc.) We do not need a copy to keep, we just need to see the record. Showing us your last statement with due dates either on paper or on your smart phone will suffice. What are your dog's primary triggers? Mostly Dogs Dogs and People At what distance does your dog react? Less than 25 feet 25 to 50 feet 50 to 100 feet 100 to 250 feet Over 250 feet Please check ALL times you are available to be scheduled for the weekly group classes. The more regular times you mark available, the more choice we have about which dogs we schedule you with. Alternate times are only used as overflow and if seminars/workshops conflict with the Rowdy schedule Sunday 3:00 pm Sunday 4:30 pm Sunday 6:00 pm (alternate) Sunday 7:30 pm (alternate) Monday 5:00 pm (alternate) Monday 6:30 pm (alternate) Monday 8:00 pm What else would you like us to know about you and your dog?
