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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:

Owner's Phone Number:
Owner's Email Address:
Re-type Owner's Email Address:
State: Zip code:
Your Dog's Information
Dog's Name:
Dog's Breed or Breed mix:
Puppy's birthdate: Male Female
Additional Information
Do you have any additional information or questions?





Contact Information
102 W Delavan Drive
Janesville, WI 53546

Contact Information
(608)752-4485 (8a-9p)

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