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START SMART REGISTRATION FORM
ABOUT YOU
FULL NAME:
ADDRESS:
CITY, STATE, COUNTRY, ZIP CODE
PHONE NUMBER
EMAIL ADDRESS
Why are you enrolling in the Start Smart Course?
What do you know about Clicker Training?
I am a clicker trainer.
I have read about it.
I have tried it a little bit.
I don't think it will work with my dog.
I don't know anything about clicker training.
Other
Check all that apply.
If your answer was "other" please explain.
ABOUT YOUR DOG
DOG'S NAME:
DOG'S BREED or BREEDS
DOG'S AGE
DOG'S SEX/STATUS
MALE NEUTERED
MALE INTACT
FEMALE SPAYED
FEMALE INTACT
If you were referred by a trainer, what is your trainer's name and email address?