Training Class Registration

Training Class Registration Form

I want to register for...(Required)

Please choose the class you would like to register for. If the class you are looking for is not listed in the menu, please choose "Other" and fill in the class name.

Other

Please enter the name of the class here.

Human Information

Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone

Work Phone

Mobile Phone(Required)

Email(Required)

How did you hear about Cold Nose Lodge?

Vet Info

Name(Required)

Phone(Required)

Dog Info

Name

First Last

Sex:

Male

Female

Spayed/Neutered

Yes

Date of Birth

How long in current home?

Breed

Color & Markings

Vaccines

Vaccines are required to take all of the classes at Cold Nose Lodge. Please upload your dogs vaccination records below, have your Veterinarian email them to us or email them to us at info@coldnoselodge.com or text them to (610) 965-3647. Dogs must be up to date on vaccines: Distemper, Bordetella, and Rabies. A negative fecal exam is also required for all puppies.

Vaccination Records Upload

Please upload a copy of your dog’s vaccination records. Dogs must be up to date on vaccines: Distemper, Bordetella, and Rabies. A negative fecal exam is also required for all puppies.

Max. file size: 20 MB.

Name

This field is for validation purposes and should be left unchanged.