Training Enrollment Form Page 2

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Is there any person, type of dog or situation that your dog has problems with?
Yes
No
Please explain: _________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Does your dog have problems in any of the following areas?
Barking
Eating foreign objects
Food aggression
Jumping on people
Mouthing/Nipping
Overly protective
Pulling on leash
Separation anxiety
Toy aggression
Other: ________________________________________________________________________
Is your dog aggressive on leash?
Yes
No
What would you like you and your dog to achieve by attending training?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
A $25 non-refundable deposit is required to guarantee enrollment in training. Deposit will be
applied towards full payment. Training Enrollment Form, Service Agreement and vaccination
records can be dropped off in person, mailed, emailed or faxed to Peninsula Pups at:
Peninsula Pups Doggie Daycare
th
801 W. 12
St.
Erie, PA 16501
Fax: 814-454-7866
□ Check made payable to: Peninsula Pups Doggie Daycare
Please charge my:
□ Discover
□ MasterCard
□ Visa
Credit Card Number: ___________________________________ Expiration Date: ___________
Amount: $__________
Billing address if different from above: ______________________________________________
Name on Card: ______________________________
Cardholder’s Signature: ______________________________ Date: __________
Freshman, Sophomore, Junior and Senior classes – $119 for eight week course
After School Special and Advanced Placement Off-Leash classes – $119 for six week course
Independent Study*
At Daycare:
In Home:
2 hours - $140
2 hours - $170
4 hours - $240
4 hours - $300
6 hours - $300
6 hours - $390
*Initial consultation required - fee is $35 if at the daycare or $50 if at your home
Version 4/14/16

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