TRAINING REGISTRATION FORM
Which class are you registering for?
OWNER INFORMATION
Last name:
 First name:
Address:
 Apt/Suite:
City:
 State:
 Zip Code:
Home Phone:
 Cell Phone:
Email Address:
DOG INFORMATION
Breed:
 Birthdate:
Name:
Gender:
 M
 F
 Is your dog spayed/neutered?
 Yes
 No
MEDICAL INFORMATION
Veterinarian/Clinic Name:
Address:
 City:
Phone Number:
 Date of last visit:
Please tell us about any physical
limitations and/or medical issues,
including allergies, that your dog has:
Is your dog currently on any medications?
 No
 Yes
My Two Dogs Inc., in accordance with the City of New York, requires up to date vaccination records on all dogs who are
receiving services from our facility. This applies to both new and regular clients. It is your responsibility to make sure
we have your dog's current vaccination records before his/her training session. If we do not have current records,
your dog will be unable to attend classes and seminars. Records can be faxed or emailed to us from your vet.

I have read and understand the above statements regarding vaccinations at My Two Dogs Inc., and am the primary
owner of this dog.
Please type your initials here:
OTHER INFORMATION
Where did you get your dog from?
How old was your dog when you acquired him/her?
How long have you had your dog?
No
 Yes
 For how long?
Is your dog left home alone?
How often do you walk your dog?
How often do you play with your dog?
What types of games do you play?
What kind of toys do you play with
when you play with your dog?
What do you feed your dog?
 How often?
No
 Yes
Do you feed your dog treats?
 How often?
What kind of treats?
No
 Yes
Do you feed your dog table scraps or
people food?
No
 Yes
Have you taken any other training classes
with your dog?
Can your dog do any of the following?
Check all that apply.
 Sit
 Down
 Come when called
Stay
 Heel
 Leave it
Please check all that apply to your dog:
Won't listen to me
 Too attached to me
Growls
 Pushy
 Excessive energy
 Guards food/toys
Shy
 Fearful
 Not good w/ other dogs
 Dominant
Playful
 Bitey
 Not good w/ people
 Aggressive
Mouthy
 Noisy
 Destructive
 Social
What are your goals for this class?
How did you hear about us?