Today's Date

* Email

* Group Location (CPH)Collierville Pet Hospital-Indoor -18 South Byhalia Rd Collierville TN 38017
(LPH) Lakeland Pet Hospital-Indoor -12691 Canada Rd (Hwy 64 @ N. Houston Levee) Lakeland TN 38017
(BAHD)Berclair Animal Hospital Downtown Memphis 668 S. Main St Memphis TN
(BDL) Brown Dog Lodge -MARCH 2012 COURSE IS FULL REGISTRATION CLOSED 4943 Black Rd Memphis TN

* Group Service Group Mini Course (3 weekly sessions-$90)
Single Session ($30- Downtown Only on dates listed)

* Location, Service, Date: BAHD SIngle Session April 7 9:30-10:30
BAHD Single Session April 21 9:30-10:30
BAHD Single Session May 5 9:30-10:30
BAHD Single Session May 19 9:30-10:30
BAHD Mini Course June 2-16 9:30-10:30
CPH OVER 16 week Mini Course May 1- 15 6:15 - 7:15PM
CPH UNDER 16 week Mini Course May 1- 15 7:30-8:30:PM
LPH Mini Course June 6-20 6:15-7:15

* First Name

* Last Name

* Street

* City, State, Zip

* Best Phone

* Phone Type Home
Work
Cell

Alt. Phone

* Text Okay? Yes
No text

* Dog's Name

* Dog's Age

* Dog's Breed / Mix

* Status Neutered
Intact

* Gender Male
Female

* How old was your dog when you acquired him or her?

* Has your dog ever been naughty towards people or other dogs? Check all that apply. No
Growled
Snapped
Bitten

If you checked any naughty boxes in the previous question, please tell me how often, and include an explanation of the event(s).

* Please write a brief description of your goals for attending this service

* Terms of Service: How's Bentley reserves the right to dismiss any participants from the group service if the instructor decides the dog and or the handler is not ready to participate in a group setting.

Sorry, there are no make up sessions or exchange for private session if you miss a group session. There are no fee adjustments or refunds for any reason.

By typing "I agree" the agreement box below, owner states:"I will not hold responsible any entity or individual that instructs, assists, provides the physical location, for any injuries, liabilities, damages, or losses incurred or perceived to have incurred, by me, my companion animals, my guests, my family, strangers, or other animals, before,during, and after the group services".

Please type "I agree" in the box below. Thank you.

* Please type the characters you see in the box.