Barks & W(h)ine Event Registration

Behavior Tails, LLC

Barks & W(h)ine Registration
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Phone Number
Please enter a valid phone number.
Has the dog you are bringing ever bitten a person?*

YesNo
Has this dog ever bitten another animal?*

YesNo
Dog Information
Dog #1: Name*
Dog # 1: Age / Sex / Breed*
Dog #1: Please upload a photo or PDF of your dog's current Rabies Vaccination. If you have trouble uploading this please email us at info@behaviortails.com or give us a text/call at 828-565-1050 for help

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Dog #1: Upload a cute photo of your dog if you'd like to share a photo with us :)

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By signing up you understand that only dogs that are behaviorally suitable to attend a class with other dogs may join the class. (This means dogs with a history of aggression, a bite history, guarding behaviors, or any other behaviors that pose a risk to persons or animals are not eligible to attend.)*

I understand & I agree
All dogs coming to class are to arrive wearing a regular collar or harness and a 6 foot leash. No retractable leashes, choke chains, prong collars, or electric collars are allowed to be worn into the training center or during the class.*

I understand & I agree
The person signing this form must be over 18 years of age and the legally responsible party for this animal and by submitting this form they are agreeing that all the information listed is accurate and that you have disclosed any history of aggression or injury that has been caused by the dog.
Today's Date:*

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Date
Signature*

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Behavior Tails, LLC

Dog Information