Dog Registration Form Dog Registration This dog registration is for the following service:- Please Select -The Enrichment Room SessionThe Essentials Dog/Puppy Training.Pet First Aid CourseCLIENT / EMERGENCY CONTACT INFORMATIONPlease provide information about yourself and your emergency contact.Client First NameClient Last NameClient EmailClient Phone NumberEmergency Contact First NameEmergency Contact Last NameEmergency Contact Phone NumberDog InformationPlease provide details about your dog(s).Please complete the information below.Registering a second dog? YesDog's NameDog's AgeDog's BreedMale / FemaleMale / FemaleMaleFemaleVeterinary Information Yes, this dog is neutered / spayed. Yes, this dog is up-to-date with vaccinations Yes, this dog is dewormed. Yes, this dog is (potty) housetrained.Does this dog have any bite history to people, dogs or other animals? If so, please explain.Is this dog anxious or fearful? If so, please explain.Does this dog have any medical conditions that I should be aware of?Dog's NameDog's AgeDog's BreedMale / FemaleMale / FemaleMaleFemaleVeterinary Information Yes, this dog is neutered / spayed. Yes, this dog is up-to-date with vaccinations Yes, this dog is dewormed. Yes, this dog is (potty) housetrained.Does this dog have any bite history to people, dogs or other animals? If so, please explain.Is this dog anxious or fearful? If so, please explain.Does this dog have any medical conditions that I should be aware of?If your dog(s) urine-marks inside The Enrichment Room there will be a $15 clean up fee. Yes, I accept the fee.Your registration is kept on file for 12 months. No need to re-register this dog / both dogs until that time. Thank you for choosing Life Tracks Training!Submit the Registration