Registration Form   

 Sessions fill on a first received basis.  We will try to accommodate all the kids to the best of our availability.  

I am with a Group __________Group Name______________________________

Child’s Name ____________________________________________________

Age ____________________________________________________________

Own a Dog?______________________________________________________

Afraid of Dogs?___________________________________________________

Allergies to anything?______________________________________________

Parent/ Guardian  Name_____________________________________________

Address________________________________ City__________Zip_________

E-Mail__________________________________________________________

Phone Number include Cell_________________________________________

Emergency Contact Name and Phone #________________________________  

_______________________________________________________________  

 A snack will be provided. If allergies please alert us or bring own snack. 
Please enclose $20.00 per child. T-Shirts available $10.00 each S,M,L
Ask about our group discounts.

Parent/Guardian Signature______________________________________________

Date_______________________________________________________________