Questionnaire

Date *
Owner’s Name *
Phone *
Email *
Puppy’s Name *
Breed *
Puppy's Date of Birth *
Male or Female *
MaleFemale
Age Obtained *
Where Obtained Breeder, Friend, SPCA, Pet Store....
How did you hear about Puppy Start Right Preschool?
Veterinarian Name, Address, and Phone number
Include the hospital name.
Other pets in house
Breed, age
Other adults in the house
Children in the house
Name, age
Who will be attending class *
Human participants
Goals for Puppy Class *
Negative Fecal Test Upload a photo or document of proof from your veterinarian that your dog has produced a negative fecal test in the last 6 months. (Must be png, jpeg, gif, or pdf)
Recent Vaccine Records We must have a copy of your dog’s most recent vaccines: DHPP, Rabies, Bordatalla. Upload a photo or document. (Must be png, jpeg, gif, or pdf)
Before submitting, please copy and paste the link below and read the Liability Agreement and Class Rules https://www.caninekarma.org/newsite/wp-content/uploads/2019/02/Combined-Forms-1.pdf
I have read and agree to the terms included in the Canine Karma Liability form and Class Rules * Sign your first and last name
Once you have submitted this form, go back to the Class page and purchase the class on our website.