Wag'N'Train Class Registration

Jump Start Package: two Private Lessons plus one 6-week standard class (Puppy Kindergarten or Companion Dog I - please indicate which class below) or 6 sessions of Levels Class. You will be contacted about arranging the appointments for Private Lessons. For Private Lesson scheduling, see the master schedule.

Puppy Kindergarten. This is the standard, traditional class only for pups 10-20 weeks of age at the start of class.

7:30-8:30 PM, starting July 30, 2008 (class skips Auugust 27), at Campbell PFE. Space available!

Companion Dog I: Older pups and dogs. This is the standard, traditional class for puppies over 5 months old, and dogs of any age. Note: This class normally fills up at least 2 weeks before start date. You will receive a confirmation letter by e-mail if you are in the class, and I will contact you if the class has filled. I will create a waiting list but spaces seldom open up. I can not hold spaces without a registration form and payment. Classes are filled on a first-come, first-served basis.

6:15-7:15 PM, starting July 30, 2008 (class skips Auugust 27), at Campbell PFE. Space available!

Orientation on Monday July 14, 12:15-1:15 PM, at Pet Food Express - Campbell

Orientation on Wednesday July 30, 6:15-7:15 PM, at Pet Food Express - Campbell

Orientation on Wednesday July 30, 7:30-8:30 PM, at Pet Food Express - Campbell

Orientation on Wednesday August 4, 12:45-1:45 PM, at Pet Food Express - Evergreen

Next class TBA

Next class TBA

Owner(s) name (first and last):
Address:
City: , CA Zip code:
BEST phone number: E-mail address:

How many children live in your house?
Please list the names of the people who will be attending the class:
If a child or children are going to be attending class, what is/are the age(s)? (Children eight years and under should not be responsible for handling the dog in class)

Are you interested in getting the class handbook in Chinese or Japanese? (Level 1/Puppy Kindergarten ONLY) No Yes - Chinese Yes - Japanese
What other pets do you have?

Dog's name:
Dog's date of birth:
Dog's breed(s):
Dog's sex: Is the dog neutered? Yes No
Where did you acquire your dog: Humane society or rescue group Breeder Stray Pet store Other
Please specify:
When did you acquire this dog?

Dog's veterinarian:

List three things you like about your dog:

Has your dog ever bitten? No Yes
If yes, please describe the circumstance(s):

Payment (see Registration page for more information)
I am mailing a check
I am paying by credit card (you must go to the PayPal page to enter credit card information when you are done with this form).

Have you taken a class from Stacy's Wag'N'Train before? No Yes

If you have taken a Wag'N'Train class before, which one was it, and when did you take it?

Where did you hear about Stacy's Wag'N'Train: Humane Society Silicon Valley Vet's office Friend (provide name if possible) The Internet Bay Area Parent Magazine Downtown Dogs Daycare Pet Food Express You Lucky Dogz doggy daycare Another trainer: don't know name Another trainer: Gretchen/Give A Dog A Bone Another trainer: Erin/Just Tails Other
Please specify (If someone referred me to you, I'd like to thank them; if you found me through the Internet please let me know what search engine or link led you here):

I look forward to meeting you and your dog!

You MUST click on the "Submit" button (once) below to have your information sent in. You will see an automatically-generated page confirming the information you have entered, and an automatically-generated e-mail saying when it was received in the Wag'N'Train mailbox. When your payment is received you will receive an official, hand-crafted confirmation letter describing the class you are registered for. Note that your place in class is not reserved unless you have sent in a registration form AND payment!