Positively Puppies, pups 8-15 weeks

First and Last Name *

Email *

Address *

City *

State *

Zipcode *

Phone

Dog Name *

Age *

Breed *

Has your dog received at least 2 rounds of their distemper/parvo vaccine? * yes
no

Has your puppy received their bordetella (kennel cough) vaccine? * yes
no

Has your puppy received both rounds of their canine influenza vaccine? (recommended but not required) * yes
no

On the first day of class, how old will your dog be? *

Comment

I have read and understand the above disclosure. *

Please enter your initials: *

Do you have a gift certificate or coupon?
*You are required to bring your gift certificate or coupon on the first day of class in order to receive the discount. If you do not bring proof of the discount, you will be charged the full amount. Please note you cannot use multiple coupons or discounts for behavior classes. * yes
no

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