Puppy Socialisation Registration Form
Handler/Owner Name: __________________________________________ Date: ________
Email: _______________________ Tel nr.: _______________________
Family in home: __________________________Type of home: ________________________
(Who lives in the house) (Flat/Townhouse/House with yard)
Puppy’s Name: __________________________________________
Species: CANINE Breed: _________________________________
Age Acquired: ____ Current Age: _____ Gender:____
Have you ever trained a dog before: ______ If so, when & where: ________________________
Please state briefly, any problems that you are experiencing with your puppy?
Please state your expectations for your puppy.
Do you or your puppy have any disabilities or health problems that could affect you or your puppy’s training? Please state
Where did you hear about our puppy socialisation classes?
I the undersigned waive and release Animal Minds Behavioural Practice, and Anlè Allison, from all and any liabilities of any nature, for injury or damage or other, which I, or my dog could suffer. I hereby agree to indemnify and hold harmless, the Practice and any employees and/or agents, while on the grounds or in the surrounding area, as a result of any action by any dog, including my own.