Registration Please fill out our registration form for new dogs. Information we require Name of dog Breed Sex Age Birthday Vet clinic Date of last vaccination Vaccinations received Rabies Bordetella DA2PP Please email a copy of your dog's most recent vaccination records to email@example.com or bring on the first day of class. Owner's name Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone Number Email Address Class Puppy Class Life Skills I Life Skills II Life Skills III Recall Class Sports Sampler Agility Class starting date Refund Policy: No monetary refunds available once program is in session. Cancellations are subject to $35 administrative fee. It must be understood that if in the opinion of the instructor a dog presents a problem or hazard to the rest of the class, the dog will be removed from class. Agreement to conditions * I agree to the terms of the Canadian Canine College refund policy I agree that my dog can be removed from classes at the discretion of our instructors I understand that my position in a class is not held until I've enrolled and paid for the class. What is your motivation for signing up for class? My dog reacts to strangers in the following way: Overly friendly Polite Unsure / shy Growls / backs away Growls / lunges Shy / backs away My dog reacts to other dogs in the following way: Overly friendly Polite Unsure / shy Growls / backs away Growls / lunges Shy / backs away Waiver: In consideration of the Canadian Canine College, Alfresco Kennels Ltd. and its members providing dog training services to me/us, I/we hereby release and forever discharge the Canadian Canine College, Alfresco Kennels Ltd. and its members from any and all actions, causes of action, claims and demands for damages, loss or injury, howsoever arising, which may have been or may be sustained by me/us in consequence of participating in anything relating to the dog training program, including all damages, loss and injury not now known or anticipated, but which may arise in the future and all effects and consequences thereof. If you are human, leave this field blank.