Riverside Canine Center

48 Bridge Street

Nashua, NH 03060

603-889-9800

www.riversidek9.com

 

Class Registration Form

 

Companion Dog Obedience Classes

Check one:	Puppy Kindergarten			Beginner I		Beginner II
Class Start Date

 

Agility Classes

Check one:	Agility I:			Agility II			Intermediate Agility
Class Start Date

 

Competition Obedience Classes

Check one:	Beginner Attention:			Novice
	Advanced Attention:			Open/Utility
Class Start Date

 

Owner:

Date:

Address:

City

State:

Zip

Home Phone:

Work Phone:

Email Address:

Refered by:

Pet's Name:

Breed:

Age:

Sex

Vaccination Dates:

Distemper:

Rabies:

Bordetella:

 

What is your main training goal for your dog?

 

 

 

 

 

 

 

 

Any specific behavior problems you need help with?

 

 

 

 

 

 

 

 

As a participant in the Riverside Canine Center Obedience classes or agility, I agree that I will not hold Riverside Canine Center or any of its agents responsible for any liability for damage or injury to persons or animals while on the premises.

 

Signature:

Date:

 

For more information and/ or to reserve space in the next class

call Joan (603)889-9800

www.riversidek9.com