Canine Training Institute – Weekday Classes For classes and individual sessions that take place Monday through Friday, please fill out the form below. Please enable JavaScript in your browser to complete this form.Please select one: *Weekday Classes – MorningsWeekday Classes – AfternoonsWeekday Classes – EveningsI would prefer: *Group ClassesIndividual SessionsNo PreferenceDog Owner First and Last Name *Name(s) of Additional Family Members Attending Training Sessions (spouse, children, etc.)Address *Address Line 1Address Line 2CityMichiganAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Best Way to Contact Me? *EmailTextPhone CallDog's Name *Dog Breed *Dog Gender *Intact FemaleSpayed FemaleIntact MaleNeutered MaleDog Birth Date and Age *Where Did You Obtain This Dog? *How Long Have You Had This Dog (months, years)? *Name/Clinic of Veterinarian *Date of Last Veterinary Exam *Please list all medications including heartworm preventative which your dog is currently taking *Please list any health issues or food allergies your dog currently has *What are you hoping to gain from this class? *Basic MannersSocializationOtherIf other, please listList problems/issues you hope to solve, any important information about your pup, and what you hope to accomplish *Have you ever done any type of training with this dog before? *YesNoIf yes, please tell us about the trainingWhat type of dog socialization has your dog been exposed to? How does it react when it meets or sees another dog? *How does your dog behave when it meets a person it hasn't met before? *Describe how your dog acts while on a leash *How best describes your dog's personality? *ShyProtective of PeopleUnsure in New SituationsOut of ControlHappy Go LuckyCalm and ReservedOtherIf other, please describeDog handling, training & other activities can have risks for you, your family & your dog. By typing my name below, I hereby acknowledge I have voluntarily applied for canine owner/handling training conducted by the Humane Society of South Central Michigan (HSSCM). I fully understand that such training may pose risks to myself, my family & my dog. I freeling and knowingly assume these risks. I will not hold HSSCM, its members, officers, agents and employees legally or financially responsible for any injury to myself, my family or my dog. I understand that I am responsible for my dog and its actions and understand Act 73 of 1939 287.351. *My dog is up to date, or will be brought up to date on core vaccines including rabies prior to the start of classes. *YesNoPlease attach proof of current rabies and other vaccines. We will need proof of current vaccines prior to the first class session. Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Submit