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Home
Schedule
Services & Products
Intake Form
Registration
Contact Us
Intake Form
You can fill out this form to give us some preliminary information we can use to get you set up in our system. This will help us get to know some background information we can use to more effectively assist you with your training needs. Once you've completed the intake form, we will direct you to the services that fit your needs, and you can begin to register for any of the classes offered by Canines & Company (including private lessons).
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Name
*
First
Last
Address
*
Address 2
City
*
Province
*
Postal Code
*
Phone Number
*
Email
*
Email
Confirm Email
Canine Profile
*
Breed
*
Gender
*
Gender
Male
Female
Age
*
Age
*
Weeks
Months
Years
Current Vaccinations Received:
*
Rabies
Parvovirus
Leptospirosis
Canine Distemper
Bordetella Bronchiseptica
None
NOTE: Current rabies vaccination is mandatory for dogs who are 12+ weeks old.
Lesson Type(s):
*
Doggy Day School
Private Lesson
Class Registration
I am looking to:
*
Enrol in an upcoming course
Enrol in Doggy Day School
Book a private lesson
Find out more about the School
Are you a current, or returning student?
*
Yes - Current student
Yes - Returning student
No
Are you a Loyalty Punch Card holder?
*
Yes - PC50
Yes - PC30
No
PC30 = 30 Punch Card | PC50 = 50 Punch Card
Additional comments, concerns, or information to provide:
Comment
Submit My Intake Form