Registration Form

Please fill out one Registration Form per Dog.

If you are an existing client and have previously completed an registration form you may skip this step.

Personal Information

Name of dog owner(s):  Person 1
Name of dog owner(s):  Person 2
Home Phone:
Work Phone:
Cell Phone:
Address:
Neighbourhood:
City:
Postal Code:
E mail:
Are you a first time dog owner?	Yes No
Emergency Name & Number (other than yourself):
Do you have any physical limitations which may affect your ability to participate in class?
How many people live with your dog:
List names & ages of any children living in the home:
How did you hear about Clever Canines?	Referral Clever Canines Web site Internet Search Unleashed Bow Dog Dawg Tired Phone Book Media Veterinarian Breeder Rescue Society Other
Please provide name of referral (person or company), media source, veterinarian, breeder, or rescue society:
If “Other”, please list how you heard of us:
I would like to receive future information on upcoming events, activities, seminars, newsletters, reports, and/or updates:	Yes No
Questions, Comments, Concerns:

To Register two dogs please fill out this form for one dog and then click the Register 2nd dog button.

Canine Information

Name of Dog:
Breed:
Birth date:
Current age:
Weight (in lbs):
Gender:	Male Female
Spayed or Neutered:	Yes No
Age of dog at time of spay/neuter?
Licensed:	Yes No
What age (in weeks) was your dog removed from it's mother:
How old was your dog when you first acquired it?:
Where did you get your dog?	Breeder Arf Friend/Family Member Pet store Rescue society Human society City pound Newspaper Other
If “Breeder”, what is the name and city of breeder:
If “Other” please explain:
Why did you choose this specific dog and / or breed?:
How many hours per week do you walk your dog on leash?
Please explain any behavioural concerns with off-leash play:
Has your dog ever attacked another dog?	Yes No
If yes, did your dog cause damage (puncture wounds, etc) to the other dog?	Yes No
If “Yes” please explain:
Has your dog ever bitten a person (including you)?	Yes No
If yes, did they break the skin?	Yes No
If “Yes” please explain:
Name of Veterinarian:
Date of last vaccinations:
What kind of food does your dog eat?	Raw Cooked Kibble Bones Other
What brand(s) is your dogs food?
Any Health problems, Illnesses, Allergies, Limitations:
Have you done training with your dog before?	Yes No
If Yes, please provide company, program name and a brief description of training outcome.
Current behavioral / training issues & challenges:
Have you considered giving up dog due to issues?:	Yes No
What outcomes do you want to achieve from training:

Click the Register 2nd dog button to fill out the registration form for your second dog or click SEND to send the form

Canine Information 2

Name of Dog: Dog 2
Breed:
Birth date:
Current age:
Weight (in lbs):
Gender:	Male Female
Spayed or Neutered:	Yes No
Age of dog at time of spay/neuter?
Licensed:	Yes No
What age (in weeks) was your dog removed from it's mother:
How old was your dog when you first acquired it?:
Where did you get your dog?	Please Choose one Breeder Arf Friend/Family Member Pet store Rescue society Human society City pound Newspaper Other
If “Breeder”, what is the name and city of breeder:
If “Other” please explain:
Why did you choose this specific dog and / or breed?:
How many hours per week do you walk your dog on leash?
Please explain any behavioural concerns with off-leash play:
Has your dog ever attacked another dog?	Yes No
If yes, did your dog cause damage (puncture wounds, etc) to the other dog?	Yes No
If “Yes” please explain:
Has your dog ever bitten a person (including you)?	Yes No
If yes, did they break the skin?	Yes No
If “Yes” please explain:
Name of Veterinarian:
Date of last vaccinations:
What kind of food does your dog eat?	Raw Cooked Kibble Bones Other
What brand(s) is your dogs food?
Any Health problems, Illnesses, Allergies, Limitations:
Have you done training with your dog before?	Yes No
If Yes, please provide company, program name and a brief description of training outcome.
Current behavioral / training issues & challenges:
Have you considered giving up dog due to issues?:	Yes No
What outcomes do you want to achieve from training:

Take your best friend to the next level by choosing CLEVER CANINES!

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Special Updates

Registration

ATTENTION pupstart, jumpstart & core grads...
Monday, May 28, 2012
at 12:01am, is early registration day for the fall 2012 core program!
Get ready to register in:

Everyone else, mark your calendars for
Monday, June 18, 2012
at 12:01am and join us for the
core program this fall!
You can register in:

 

It's time to shed your winter coat!
Come join fitwithfido for a
FREE trial class!
Email us and come try it out!

Jodi, Joe and Tracie spent the Easter long weekend with Dr. Ian Dunbar! The three day seminar was fun, engaging and motivating.

Check out the Calgary Journal article on Pet Custody!
Pet Custody - Calgary Journal copy

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We're Hiring!
We are would like to add a Program Administrator to our existing team. Please check back soon for details.

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Five Clever Canines dogs were invited to join Cesar Millan on Breakfast Television November 3, 2011 while he was in town.
Matilda, Niko, Cookie, Ash, Ozzy

For the full segment, click here!

Niko thanks Cesar for his work and dedication to canines everywhere.

 

Favorite Blogs

• Getting A Second Dog
• Pet Food - Seriously Scary Stuff
• What's next? Oh yeah, DVD's for dogs...
• Off-Leash Parks in the City of Calgary

Recent Press

• Insuring your pet: could it save their life?
• Fitness for Fido
• Is your pet out of shape?
• Training the un-trainable dog
• Raising Canines
• It's a dog, not a small furry infant
• Putting puppy in its place

Contact Us

(403) 226-BARK (2275)
info@clevercanines.ca