The Pups Academy Enrollment Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Welcome to Creekside English Goldens Puppy Academy! Completion of this questionnaire will help us to develop your puppy's individualized training program with your goals in mind. Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *We use Square for our online payment transactions. Please indicate YOUR PREFERRED METHOD: *ACH (1% Convenience Fee)Credit Card (3.9% + .30 Convenience Fee)Training Program Duration *Stepping Stones - 3 weesTrails - 5 weeksPeaks - 8 WeeksSummit - 12 WeeksCustomFor Custom Training, please add timeframe/duration you would like your puppy to participate in training.I would like to order a harness set that my puppy will be using in training. *Set #1 - Small/Medium - Stepping Stones and TrailsSet #2 - Medium/Large - Peaks and SummitSet #3 -Small/Medium/Large - Stepping Stones and TrailsPlease add color choice for harness set. *What is your puppy's Gender. *MaleFemaePuppy's Name *1. Will your puppy be only a family pet or do you have other pursuits planned such as therapy work, service work or agility? * your associated the 2. List the members of your household including age and gender of children. *3. Describe any special needs of your family members. *4. What other animals reside in the home? What other animals will your dog be exposed too regularly? *5. What is your biggest concern associated with getting a puppy? *6. That are your overall desires for training? Please lis the two most important goals for your puppy's training and what are two less important goals? *7. Describe your go-home plans (car/air pick up or transport, duration of trip etc.) *8. Describe your home (size # of floors, indoor/outdoor stairs, distance to doors as well as the outdoor area (fences or pen) where you desire the puppy to play and potty. Include any relevant details of your neighborhood (dog parks, sidewalks, traffic, etc): *9. Will your puppy be allowed (or desired) to be on furniture? *10. Will your puppy be allowed to play rough/wrestle/be somewhat mouthy? *11. What type of outings will your puppy take with you? *12. What is your vision of life with your puppy? *13. Please Provide a sample of a typical weekly family schedule including weekends. *Signature Clear Signature Submit
