Control Unleashed (CC) Registration Form

Your full name *
Your full name
Second handler's full name (optional)
Second handler's full name (optional)
Phone *
Phone
(555-555-5555)
Dog's date of birth *
Dog's date of birth
If unknown, please estimate
(shelter, breeder, other?)
If unknown, please guess
Please be as detailed as possible...
Please be as detailed as possible...
Please be as detailed as possible...include "nips" and attempts as well as actual bites.
Bruising, broken skin, lacerations, tears, stitches, medical treatment?
Please be as detailed as possible.
Please be as detailed as possible.
Please be as detailed as possible...include "nips" and attempts as well as actual bites.
Bruising, broken skin, lacerations, tears, stitches, medical treatment?
Our Cranky Canine program is a prerequisite for this level. If you have not completed Cranky Canine or a Private Assessment, please stop here and register for that level and complete those prerequisites prior to signing up for this program!