Puppy Registration Form Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Your Puppy's Information Your puppy's name * Your puppy's age * Your puppy's breed * Your puppy's sex Male Female Where did you get your puppy from? * please name any breeders or rescue organisations How old was your puppy when they came to live with you? * What Vet Practice is your puppy registered with? * What is your puppy's vaccination status? * Fully vaccinated Not fully vaccinated (with date booked) Not fully vaccinated (no vaccination booked) Does your puppy have any current health concerns? Current life with your puppy How much sleep is your puppy getting in each 24hr period? * Did you know that puppies require 18-20 hours of sleep per day!? Where does your puppy sleep? * Describe your puppy's typical day * include where you usually go, what you usually do, the behaviours your puppy usually exhibits. What socialisation have you done so far with your puppy? * New people (adults) New people (children) New dogs (adults) New dogs (puppies) New sounds New sights New textures New scents New equipment (harness/collar) Traffic/transport None of the above Your Goals What are you hoping to gain from your sessions with WalkWise? * How confident do you currently feel when out in public with your puppy? * Very unconfident Unconfident Confident I haven't taken my puppy out in public yet Social Media Consent Please note that consent given in this section can be withdrawn at any time. Please just let me know if something changes. Photos and videos are sometimes taken during training sessions for educational purposes. If possible we like to use these to educate others via our social media channels, however this will only be done with your consent. No personal information is shared on social media other than your dog's name and sometimes their breed. Do you consent to having pictures or videos of your puppy posted on our social media pages? * Yes No Do you consent to having pictures or videos of yourself posted on social media? * Yes No Please tick this box to confirm all the information shared is up to date and accurate , to best of your knowledge. * Confirm Agree to T&Cs * Please tick here to confirm you have read and understood our terms and conditions and privacy policy. Confirm Thank you very much for taking the time to fill out your registration form. I will look forward to meeting you!Please add jessica@walkwisedogtraining.co.uk to your trusted senders list to avoid any emails landing in your spam folder.
