Transcript
Fort Wayne Obedience Training Club, Inc. Public Class Application Dear Dog Owner: Your desire to enroll your dog in our next obedience training class has been brought to my attention. *See application form for dates and times, as these may vary from year to year. Attached is an application for the class beginning on * . The class will be held at the Allen County Fairgrounds in the Home Loan Bank Building. The classes are one hour long and begin at * for eight consecutive weeks. Since the class is limited in size, you must fill out the attached form and return it to the address below seven (7) days prior to the first class. Please note that this does not guarantee you a spot in a class, as it is a first come, first serve basis.
Your dog must be: • Very close to 6 months of age OR older. • Inoculated against Distemper, Hepatitis and Leptospirosis (DHL), Parvo Virus, and other immunizations recommended by your veterinarian. Rabies vaccination is required by law. You may either send a copy of the receipt or computer read-out showing proof of this with your application, or bring it with you on the first night of class. If you send an original, it will be returned to you. You, as the handler, must: • Be at least 12 years of age and physically capable of handling this dog. • Not feed the dog his usual evening meal until after class. • Be comfortably dressed with low-heeled tie-on shoes. • Exercise the dog immediately before coming into class, giving him/her a chance to relieve themselves. (Be sure to clean up after your own dog!) The following items are required: • A properly fitted collar and a leather or woven leash (6 feet long), both of which will be available from the club at very reasonable prices. • The receipt from the veterinarian showing proof that the dog has had all the necessary immunizations. YOU WIL NOT BE PERMITTED TO WORK YOUR DOG IN THE CLASS IF YOU HAVE NOT SHOWN THIS PROOF.
PLEASE PLAN TO ARRIVE 15 MINUTES PRIOR TO YOUR CLASS THE FIRST NIGHT OF CLASS! Also, DO NOT bring your dog to the FIRST night of class. ***The fee for the entire 8 week course is $80.00 and must accompany the application so that a place may be reserved for you. Make check payable to: FORT WAYNE OBEDIENCE TRAINING CLUB, or FWOTC, and mail with the application to: Sharon Kersjes 3065 Navajo Crossing New Haven, IN 46774
**Allen County Fairgrounds
Irene Byron Health Center
Dupont Road
Highway 69
Lima Rd (Hwy. 3)
Carroll Road
Fort Wayne Obedience Training Club, Inc. Application for Training Class Please note the following dates and times. Circle your choice of day and time. The $80.00 fee MUST be enclosed with the application in order for us to reserve a spot in the class. Since the class is limited in size, you MUST return the application 7 days prior to the first class. Make checks payable to: FORT WAYNE OBEDIENCE TRAINING CLUB or FWOTC. MAIL TO: Sharon Kersjes Please circle preferred time: 7:00 PM or 8:15 PM 3065 Navajo Crossing January________________ August _________________ New Haven, IN 46774 March_________________ October_________________ May___________________ (Class times are available for all dates.) Name:
Phone:
Work:
Address:
City/State/Zip:
Dog’s Name:
Primary Breed:
Dog’s Age (at time of class):
Male
Female
Copy of veterinarian’s receipt enclosed, showing required inoculation? Handler’s Age:
Under 18
Over 18
Size: S Yes
M
L
No
Name of Handler:
Has handler ever been through a training class? If so, where and when?
Is this dog aggressive toward people?
Yes
No
Toward other dogs?
Yes
No
How/where did you hear about our training program? **PLEASE NOTE: If for any reason, you may become unable to attend the assigned class, notification must be made seven (7) days prior to the start of class or the deposit may be forfeited. I hereby make application to enter the above named and described dog for training, and agree to abide by the rules and regulations of this club. In consideration of the acceptance of this application and upon entering this dog in the class, I hereby agree to hold the Fort Wayne Obedience Training Club, Inc., its members, trainers, officers and all persons connected with the club HARMLESS from: (1) any loss or injury which may occur to any person or thing by biting, or any act of my dog while in or upon the premises or grounds while being delivered or removed or otherwise handled, and (2) the disappearance and/or loss by theft of otherwise, and/or death of the above named dog. I personally assume full responsibility and liability for my dog’s actions, for all damages and injuries caused by the negligence or carelessness of the said Club, its members or any person or persons and/or by any other cause directly or indirectly operating while my dog, members of my family, or I am on the Club premises. SIGNED: DATE: PLEASE FILL OUT COMPLETELY AND RETURN WITH YOUR APPLICATION. THANK YOU!
Dog Profile Form Dog’s call name Owner’s name Address Other people in home and age of kids Who is primary caretaker of the dog? How many dogs do you own?
Phone City/State/Zip
Name(s) and age(s)
Other animals in home and age Where in pack is the dog’s ranking (if known)? Breed Birth Date Altered? If No, reason Last seen by vet Vaccinations current? Regular medications? ___Yes ___No What & Why? How long have you had the dog? If not, what is your relationship?
Sex Overweight?
Are you the primary owner?
Where did you obtain the dog? Name of Breeder & City & State Friend or Relative Pet Store
Stray
Shelter
Rescue
Ad in paper
Other
Where is the dog kept? in the house other
in house crated
in fenced yard
in kennel
tied outside
Professionally groomed? Where does the dog sleep? How would you describe the dog’s personality? shy happy playful hyper annoying submissive finicky dominant dependent
friendly aggressive nervous
fearful bored
loud calm territorial indifferent extroverted other
jealous
Bad Habits barks/howls growls runs away chases things other
jumps up
digs
chews
gets into trash begs
wets
How does the dog react to riding in the car? React to being left alone? Over
How does the dog react to … Men? Women? Children? Strangers? Crowds? Other adult dogs? Puppies? What upsets the dog?
Any dog fights? Has the dog bitten or tried to bite anyone?
Do you trust your dog? What commands does your dog understand? come heel okay wait
off hup sit other
down in stand
drop it leave it stay
enough let’s go stop
fetch move take it
25%
0%
randomly
How often will the dog come when called? 100%
75%
50%
Previous training Activities you enjoy with your dog
Future goals with your dog
Additional comments
How did you hear about FWOTC? Please list the training tools you have used in the past: collar type clicker other
food rewards
leash type electronic collar
give
