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Janesville-Beloit Kennel Club
Home: Classes: Puppy Classes: Puppy Class Pre-Registration Form

Puppy Class Pre-Registration Form
All information you provide is confidential and will not be distributed in any way.

Your Information
Please specify any classes you
are currently taking at JBKC:
Are you currently a
member of JBKC?
Yes No
Dog's Owner:

For consistency, the handler may not change throughout the entire session. Exceptions are occasionally made, at the discression of the instructor and ONLY if the instructor knows about it before the sessions starts.
Owner's Phone Number:
Text messages okay? Yes No
Owner's Email Address:
Re-type Owner's Email Address:
Address:
City:
State: Zip code:
Your Dog's Information
Dog's Name:
Dog's Breed or Breed mix:
Puppy's birthdate: Male Female
How long have you had your puppy?
Where did you get your puppy?
Breeder Rescue Other
Does your puppy have a Bite Order against them? No Yes
Additional Information
Have you trained dogs before? If so, to what capacity?
How did you hear about our classes?
If you have any physical limitations, what can we do to help accomidate you in a class setting?
Does your puppy have any physical disabilities (deaf, blind, etc) that we should be aware of?
Dog's Veterinarian:
Veterinarian's phone number:
Do you agree to provide proof of vaccines from your vet?
Agree Disagree

DOUBLE CHECK TO INSURE THAT YOUR DOG
HAS THE BORDETELLA VACCINE!



Do you have any additional information or questions?


 

 

 

 

Contact Information
Location
102 W Delavan Drive
Janesville, WI 53546
[Map]

Contact Information
(608)752-4485 (8a-9p)
jbkennelclub@gmail.com

For all questions regarding our current classes, please see our Classes page.


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