Day Training Registration Form Name* First Last Email* Family member's names and ages (if under 18)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home Phone*Cell Phone*Dog's Name* Breed* Sex* Dog's Birthday* MM slash DD slash YYYY Where did you get your dog? How long have you had your dog?* What vet practice do you use?* Please indicate the date your dog is due for DHLPP* MM slash DD slash YYYY Please indicate the date your dog is due for Rabies* MM slash DD slash YYYY Please list the behaviors you would like worked on during the day training.*Crate: Is your dog crated when left unattended?* Crate: Where is your crate located?* Crate: Do you cover the crate with anything?* Exercise: What schedule is your dog on for exercises?* Exercise: How many times a day?* Exercise: For how long?* Exercise: What tools do you currently use (prong, harness, gentle leader, flat buckle collar) and are they effective?* Dog Food: What kind of food does your dog eat?* Dog Food: How much do you feed per day?* Dog Food: Does your dog eat 2 times a day?* Dog Food: About what times?* Dog Food: Any known allergies?* Schedule: Is your dog on a regular schedule for elimination (ie. twice a day at 7am and 6pm)?* How did you hear about Paws and Possibilities? Yes I agree to be added to your mailing list to receive email newsletters that include training tips and email-only discounts. Welcome! We are so pleased that you have chosen Paws and Possibilities, LLC, as your access to creating the relationship with your pet that you have always dreamed of having. During the training process, you can expect to learn how to communicate effectively with your pet and we will create simple plans to address your unique situation. We know that you have a choice when it comes to animal trainers, and we appreciate your business. If, at any point in the training process, you are not satisfied with the process, please let us know so that we may remedy the situation. It is our goal to exceed your expectations.Most of our business comes from you referring your family, friends and neighbors. If you know anyone who you think would benefit from our training program, we appreciate you passing along their information to us so that we may contact them.* Cancellation Policy: We schedule our appointments to include travel time to and from your home. If you need to cancel, kindly give 24 hours notice. Except for an emergency or an illness, you will forfeit one of your sessions for same-day cancellations. Liability Disclaimer: Animals are unpredictable. I hereby agree to indemnify and hold harmless Paws and Possibilities, LLC, its owner, employees, and agents from all claims, or claims by any member of my family or any other person accompanying me at any training sessions of Paws and Possibilities, LLC, thereto as a result of any action by any dog, including my own. Copyright Protection: I hereby agree not to copy or to release to any other persons the training materials and handouts that are given to me as a client of Paws and Possibilities, LLC, and I fully understand that all written material from Paws and Possibilities, LLC, is copyrighted and is protected under the copyright laws. I agree and accept the information stated in this agreement. PhoneThis field is for validation purposes and should be left unchanged.