Name:
Street Address:
Address 2:
City: State: Zip:
Phone: Email:
Dog's Name:
Breed:
Age:
Proof of Vaccination:

1. Has your dog graduated from obedience school?
   
2. Can your dogs be hugged, handled, and/or touched by strangers?
   
3. How is your dog in a crowd?
   
4. Is your dog noise sensitive?
   
5. Is your dog good around wheelchairs or other object he/she is not familiar with?