Class and training registration

Please complete the form below

 
 
Name *
Name
Name, Age, Gender, Breed, Spayed/Neutered (Y/N)
Name, Age, Gender, Breed, Spayed/Neutered (Y/N)
Desired Training/Services *
Check all that apply
Other Service
Phone *
Phone
Cell
Phone
Phone
Other
Messages *
What are the best ways to reach you
Free 15 minute phone consult required before first class. Enter day(s)/time(s) available if not had a consult yet.
List all vaccinations/titers with dates.
For the following bite history related questions, thank you in advance for answering as completely as possible. We strive to keep everyone, dog and human, safe at all times. Has your dog ever bitten a person, including yourself? *

If you have questions, please contact me:

Joanne Ometz, The Dog Lady
2721 Woodmont Dr
Durham NC 27705
joanne@joannethedoglady.com

919-864-0229