Student Application: Hands-On Workshop – Part 1 – CATCH Canine Trainers Academy, LLC.

Please complete Part 1 of 3 below.

Part 1: Basic Information

1. First Name:*

2. Last Name:*

3. Gender:*

4. How Would You Like Your Name to Appear on Your Graduation Certificate:*

5. Are you:

18 years of age or older?*

A high school graduate or equivalent ?*

Proficient at speaking, reading and writing in English ?*

6. Phone 1:*

7. Phone 2:

8. Email Address 1:*

9. Email Address 2:

10. Mailing Address:*

Street Address (Include Apt. #): City State ZIP Code

Check here if you have an address outside of the USA and we will contact you to get your address information separately.

11. Is the address above the same address you would like your Study Materials shipped to?*

Address You Would Your Study Materials Shipped To:

Street Address Address Line 2 City State ZIP Code

12. Check any experience you have with dogs:

Dog Owner
Dog Walker
Dog Sitter
Dog Trainer
Dog Groomer
Foster Home Volunteer
Veterinary Technician
Shelter or Rescue Volunteer
Dog Day Care Staff or Management

13. What type of training methods are you seeking to focus on? Check all that apply:

Modern, Science-Based
Dog-Friendly
Dominance-Based
Positive Reinforcement
Choke and Pinch Collar Pop Techniques
Assertive Training such as Traditional Military Techniques

By pressing the Submit button below, I verify that the name on this application above is me, and I am the person who is completing all parts of this application.

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