Please Print and Return
Group Class & Workshop Registration

Classes & Workshop fees vary, please see "Group Training" for fee

Please Print/Type

Class: ____________________________ Class: ____________________________
Workshop: __________________________________________________________
Workshop: __________________________________________________________

Owner’s Name_____________________Spouse/Partner’s Name:_______________

Your Dog’s Name: __________________Breed(s): __________________ Age: ____ Address_________________________ City______________ State_____ Zip______

Home Phone (___)______________________    Work Phone  (__)_______________

Mobile#1 (______)__________   E-mail  ___________________________________

Best ways(s) to reach me: Phone  Email:  Work:  Other:  ______________________

How did you hear of Leading the Way? _____________________________________

Household Members: (circle all that apply)  Spouse/Roommate Children (Names:)_________________________    Age: ____  Cats  Other Dogs 
How many other dogs? _________ Breeds:  _____________________________

Other Animals:______________________________________________________ 


Information to help us with Training:

What prior classes have you taken with this dog and where?

What are your training goals for you and your dog?

Where did you get your dog? (breeder, shelter, stray, etc) If from the shelter where the a stray  Yes                 No

Has your dog ever shown aggression (growled, nipped, bitten) towards humans or other dogs?            Yes                         No

If yes, explain: 

How did you hear about us?

Please return to form to our office at :Leading the Way 203 Long Plain Rd Whatley, Ma 01093. Please make check payable to Melissa Mehlman

                                                      Thank you!