Therapy Dog Class Entry Form

To sign up for the Therapy Dog class, please fill out the form below.

  1. Please provide the following contact information:

    Name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Home Phone
    E-mail

  2. Dog's Name

  3. Breed:

  4. Gender:

    Male
    Female

  5. Spayed / Neutered?

    YES
    NO

  6. Dog's Age:

  7. Have you taken a One Day Workshop at DarnFar Ranch?

    YES
    NO

  8. If you have not taken a Workshop, do you plan to attend one?

    YES
    NO

  9. Does your dog have any of the following:

    AKC CGC
    Therapy Dog Certification
    Obedience Titles (CD, CDX, UD etc...)
    Agility Titles
    Working Titles/Skills (SAR, etc...)

  10. What is your interest in attending the Therapy Dog Classes at DarnFar Ranch?