MEMBER EVALUATION & TALENT AGENCY FORM

A CANINE ACADEMY, INTL
Executive Offices: p.o.b. 11062
Chandler, AZ. 85249
480-529-9005 fax 480-802-5394
email: eval@dogtrainerphoenix.com
www.dogtrainerphoenix.com

 

Dog's Name__________________________________         Owners Name___________________________________
Breed___________________________      Age_______________    Gender_________________    Date______________

Our training experience with _________________________ (trainers name) was:

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

FREE ENROLMENT IN CANINE TALENT AGENCY                   ______ Yes  ______ No
(please provide a color photo close up of head & full body to be supplied via mail or taken now —not returnable)

WILLING TO BE CONTACTED AS A REFERENCE                   ______ Yes  ______ No

 

Thanks for choosing A Canine Academy!