Training Refund Submission
Today's date:
Today's date:
/
MM
/
DD
YYYY
CONTACT INFORMATION
Your name:
Your name:
*
First
Last
Your email address:
*
Email address used for Paypal payment of adoption fee (if different):
Your phone number:
Your phone number:
*
-
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-
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DOG'S INFORMATION
Dog's name:
*
Dog's red tag number (i.e. 7536):
Maximum of
4
digits allowed.
Currently Entered:
0
digits.
Date of adoption:
Date of adoption:
*
/
MM
/
DD
YYYY
TRAINER'S INFORMATION
Trainer's Name:
Trainer's phone number:
Trainer's phone number:
*
-
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-
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####
Trainer's email address:
Date training started:
Date training started:
*
/
MM
/
DD
YYYY
Date training completed:
Date training completed:
*
/
MM
/
DD
YYYY
Attach proof of completion of a positive-reinforcement training class by one of the trainers on our
training list
, or approved by us in advance - can be an electronic document or photo/scan of a paper document. (Limit 3 files.)
*
Attach Files
Please briefly describe the training class taken: