Registration Form
CYBER AGILITY TEAMWORK BUILDING BLOCKS
ABOUT YOU
FULL NAME
ADDRESS
CITY, STATE, COUNTRY, ZIP CODE
PHONE NUMBER
EMAIL ADDRESS:
What is your time zone?
Please be specific as to Standard Time, Daylight Time, Summer Time, etc
ABOUT YOUR DOG
DOG'S NAME
DOG'S BREED (OR BREEDS)
DOG'S AGE
DOG'S DATE OF BIRTH (approximate is fine)
DOG'S SEX/STATUS
MALE NEUTERED
MALE INTACT
FEMALE SPAYED
FEMALE INTACT
DOG'S APPROXIMATE HEIGHT/WEIGHT
TRAINING
Describe your experience as a clicker trainer.
What have you taught your dog with clicker training?
What are your dog's favorite motivators?
What games do you play with your dog?
RESPONSES TO LIFE
What does your dog DO when he meets a new dog?
What does your dog DO when he meets a new person?
Describe please.
GOALS
What are your goals for taking this course?
How interested are you right now in doing dog agility trials with your dog?
Very interested
Somewhat interested
Maybe / Maybe not
Somewhat disinterested
Not interested
FINALLY . . .
What are things you and your dog love to do together?
What is something you really love about your dog?
Anything else you would like to add?