703-554-2384

Class and Training Registration Form

New Client or New Dog?

Please fill out the entire form.

Returning Client?

Please fill out any fields with a *star* and any that have changed since your last class.

Your Contact Information

First Name *

Email Address *

Last Name *

Phone *

Zip *

Please add me to your email list for training and behavior articles, resources, and upcoming events.

Online Class Selection

FREE Puppy Chat: Saturday 9:30-10:30

Fido’s First Grade, Saturday May 9-May 30, 11:00-noon, $150 after discount

Fido’s Second Grade, Saturday June 13-July 18, 11:00-noon, $150 after discount

Connection, Cooperation, and Control™ (for more information)

Private Online Sessions

Basic Manners Private Single-session, $120

Basic Manners Private Three-session, $325

Connection, Cooperation, and Control™ Private Six-session, $360 special price

Training Pairs, $60/each

TTouch Private Single-session, $120

TTouch Private Three-session, $325


Class Start Date: *

Your Dog

Dog's Name *

Dog's Date of Birth *

Breed or Breed Mix *

Dog's Weight *

Dog's Sex *

Where did you get your dog? *

How long have you had your dog? *

Background Information

How did you hear about Joyful Dog LLC?

What would you like to learn in this class? *

Has this dog attended training classes before? * NoYes, at Joyful Dog LLCYes, elsewhere

If yes, what class(es) did your dog attend and who was the trainer?

Are you familiar with clicker training?

Have you owned other dogs in the past?

If so, what training approaches did you use?

Do you have any concerns about your dog's behavior around other dogs, children, or strangers?

Who lives in your household? List ages of any children.

Do you have other pets?

If so, tell us about their species, breed (if dogs) and interactions with the dog who will be attending class.

Do you have a fenced yard?

How much time does your dog spend in the yard?

How does your dog behave at home? *

How does your dog behave in the outside world? * Please explain.

Has your dog ever bitten or been bitten? * If yes, please explain circumstance(s).

Does your dog play with other dogs? * If yes, where?

Does your dog guard food, toys, or other objects? * If yes, please explain.

Does your dog act fearful or aggressive toward:*
ChildrenMenDogsOther AnimalsLoud NoisesThunderstormsVehiclesOtherIf yes, please explain.
Is there anything else you'd like the instructor to know?

Health Information

Name & Location of Vet *

Date of last DHPP (Distemper, Hepatits, Parvovirus, Parainfluenza) vaccine: *

Date of last Rabies vaccine (for dogs 4 months or older): *

Date of last Bordetella (kennel cough) vaccine: *

If you use titers, date of last titer: *

Does your dog have any food allergies or sensitivities?*

I understand that my dog must be free of contagious conditions, parasites (including fleas), and have an annual stool check. *

I understand and agree to the policies at the bottom of this page. *

To submit your information, please hit send. If you do not receive confirmation the form has been sent, scroll up to make sure all required fields have been entered. Once you've submitted your form successfully, pay online via our Square store at:

https://squareup.com/market/joyful-dog-llc

or send a check to:

Joyful Dog LLC
PO Box 6454
Leesburg, VA 20178

Policies

  • Paid pre-registration is required to reserve a space in class. To pay online visit our Square “store”.
  • There will be no refunds after class begins.
  • Please make sure your dog’s vaccinations are up-to-date.
  • Only healthy dogs can come to class. Owners should keep their dogs at home in cases of sneezing, coughing, diarrhea or other potentially contagious symptoms.
  • Owner is expected to maintain and reinforce training outside of class setting.
  • Children 8 and over may come to class as long as they remain with their parents throughout class, and follow trainers’ instructions.
  • At their discretion, instructors associated with Joyful Dog LLC have a right to refuse admission to or expel a dog/handler from class.
  • More information about Rolling Registration

Waiver

I understand that attendance at a dog training class is not without risk to myself, my
dog, members of my family or guests that may attend. I agree to release and hold
Joyful Dog LLC, its instructors and teaching assistants, the training facility, and their
respective officers, directors and employees harmless of any liability arising from this
training activity and/or information or consultation provided by Joyful Dog LLC. I
expressly assume the risk of damage or injury therefrom.