THE NORTHERN NEW JERSEY GERMAN SHEPHERD DOG CLUB
TRAINING REGISTRATION FORM
Name of Handler ( at least 16 yr old ) / Owner :____________________________________________
Address: ___________________________________________________________
Contact Number : Home _________________ Business _________________Cell____________
Email Address _________________Contact Preference__________________
Name of Dog : _______________________________________________________
Sex : M/F Age ( 6 mon. or older ) ___________ Spay/Neuter Y/N Dog / People Friendly (circle )
Please state if there are any problems with this dog that concern you ______________
_____________________________________________________________________
CHOICE OF CLASS : Beginner _____ Intermediate Novice _____Advanced ______
Are you interested in: Basic Obedience __ Competitive Obedience __ Canine Good Citizen Course __
Please tell us what you expect from the class ____________________________________________
Name of Breeder : ________________________Rescue Organization__________________________
AKC Registration Number : ___________________________
Veterinarian Name :_________________________Phone___________________________________
Proof of Rabies Submitted Y/N
Current on Vaccinations (Parvo,Distemper,Hepatitis,Leptospirosis,Bordetella Y/N
Is this your first dog? Y/N In Your Household : Dogs : ____Cats : ___Children/Age______________ Have you trained before ? _____________If so, Where and When :_____________________________
____________________________________________________________________________________
How did you hear about us ? Newspaper Name :_________Internet :Y/N Referred by_____________
ARE YOU A MEMBER of this Club ? Y/N If not, would you be interested in becoming a member of The Northern New Jersey German Shepherd Dog Club ? ________
Training the German Shepherd includes participation in "hands on" training, with attendance at orientation/education/discussions. This is an integral aspect of obedience training, and is considered part of the Trainee’s application.
By signing below, you agree and consent that your dog / handler / owner, may be removed from class at any time in the event that, in the trainers sole discretion, your dog / handler/ owner creates a safety issue for any other dog / handler / owner, or other animal or individual.
You certify that the above information is correct, and accept full responsibility / liability for your dog.
Print Name : _____________________________________
Signature :__________________________________Date_____________________
Simply print the form and bring with you to the next registration class. See "Classes and Lectures" page for dates.