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Username: Password: Your Dog's Name: Your First Name: Last Name: Email: Address: City: State: Zip Code: Mobile Phone: Referred By:

About your dog

Is your dog very possessive about his/her food or toys? Yes NoIs your dog afraid of strangers or certain groups of people? Yes NoDoes your dog bark at other dogs when out on a walk, or at you for attention? Yes NoHas your dog ever bitten a person or another dog, regardless of injury (not including nipping or play biting)? Yes NoDo you believe your dog is able to skip basic obedience and take advanced classes or agility? Yes No Your Dog's Gender: Male Female Your Dog's Birthday:

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