Long Registration Form | Acadia Canine Academy

Acadia Canine Academy Training Registration Form

Owner's Information

Full Name

Phone

Home Phone

Email Address

Address

Dog's Information

Dog's Name

DOB

Neutered / Spayed?

Time Owned (Years/Months)

Breed

Dog's Sex

Male

Female

Alergies / Medications

Microchip # or Tattoo #

You MUST present your most recent vaccination records prior to beginning our Board & Train Course. The following immunizations are required before: Rabies, DAPP (Distemper, Adenovirus, Parainfluenza, Parvovirus) and Bordetella (also known as kennel cough).

Vet Name

Vet Phone #

Vet Address

Upload Proof of Vaccination Here:

Upload Proof of Vaccination

Delete File Upload supported file (Max 15MB)

Course Selection & Payment

2 Week Board & Train Basic Obedience Course ($2,000)

3 Week Board & Train Basic Obedience Course ($2,400)

4 Week Board & Train Basic Obedience Course ($2,800)

Your Signature

DEPOSIT FEE: $500 REQUIRED FOR ALL TRAINING COURSES

The Balance must be paid in full when you drop off your dog. Space is limited to a maximum of 4 dogs boarding and training in our home, not at the kennel, to allow us to focus on your dog and his/her individual needs.

PERSONAL CHECK, MONEY ORDER OR VENMO (@James-Stile): Please make check payable to: ACA K9 Enterprises LLC

Questionnaire

What are the goals you would like to accomplish through our Board & Train Course?

Has your dog ever shown aggression with any of the following: dogs, people, children, toys, or food… etc?

Have you ever consulted or utilized a professional trainer in the past?

Have you ever used any training tools to help fix a problem? If so, please list them:

Do you have any concerns with your dog entering into our Board & Train Course?

Do you request any specific date for dropping off your dog at our facility? If so, when?

How did you find us?

Any questions?

(518) 646-6731