Tricks Class Application Form

Owner Information

First Name *

Last Name *

Postal Address *

Suburb *

City *

Post Code *

Is your Postal address different from your Physical address? *

Yes
No

Phone (Home) *

Phone (Mobile) *

Phone (Work) *

Email *

Pet Information

Pet Name *

Breed *

Colour *

Date of Birth *

Sex *

Male
Female

Desexed? *

Yes
No

Microchip Number *

Council Registration Number *

Please Note: Microchip and Council Registration is compulsory over 3 months of age. All dogs must be desexed from 5 months of age to attend Happy Paws Classes

Vaccination Information

In order to provide a healthy environment for all the animals we care for, Happy Paws requires your pet to be fully vaccinated and to have a vaccine certificate as a record of proof provided from your veterinary practice.

NO animal will be allowed entry to Happy Paws without this document unless we have contacted your veterinary practice to verify vaccination status.

The vaccinations required are Bordetella (Kennel Cough), Distemper, Parvovirus. Leptospirosis, Hepatitis and Parainfluenza.

Kennel Cough (Bordetella)

Date received *

Date due *

5 in 1 (DHPPV, distemper)

Date received *

Date due *

Leptospirosis Virus

Date received *

Date due *

What flea treatment do you use for your dog? *

What date did you apply the treatment? *

What worm treatment do you use for your dog? *

What date did you apply the treatment? *

Why did you choose the flea and worm treatments? *

Why did you choose this particular brand/diet? *

Vet Information

Veterinary Clinic Name *

Address 1 *

Suburb *

Post Code *

City *

Email *

Phone *

Pet Information continued....

Is this your first dog? *

Yes
No

Where did you purchase your dog? *

At what age did you purchase your dog? *

How long have you had your dog? *

If you have not had your dog from being a puppy what do you know about it’s past? *

Do you have any other animals in the household? *

Yes
No

Which family member is your dog most bonded to and why? *

How many adults will be attending the class and what are their names? *

How many children will be attending the class and what are their names? *

What are the ages of the children? *

How did you hear about Happy Paws? *

Why did you choose Happy Paws? *

Would you like to receive our newsletter via email? *

Yes
No

Behaviour & Lifestyle

Does your dog like to play with other dogs? *

Yes
No

How does your dog react to strangers? *

If Yes, please explain *

Behaviour & Lifestyle continued...

Please select a box below to indicate your opinion of how well your dog is able to perform the following behaviours:

Responds to their name *

Everytime
Sometimes
Never

Sit on request *

Everytime
Sometimes
Never

Off lead control – Recall response *

Everytime
Sometimes
Never

Commands - 'Sit' and 'Stay' *

Everytime
Sometimes
Never

Lie down on request *

Everytime
Sometimes
Never

Training Information

What would you like to achieve from attending this course? *

Do any attendees or your dog have any medical condition that may affect participation with this course? *

Yes
No

Have you or your dog had any previous medical conditions that may affect your participation in this course? Eg Heart murmur, luxating patella (slipped knee cap), back injury etc *

Yes
No

Is your dog taking any medication? *

Yes
No

If Yes, please give details (Name of drug, dose and how often it is administered) *

Do any attendees or your puppy have any allergies to types of food? (Nuts, seafood etc) *

Yes
No

Do any attendees or your puppy have any other types of allergies? *

Yes
No

Does your dog have any health concerns that you are aware of? *

Yes
No