Designer Breed Registry   Application for consultation
                                    
                      DOG MUST BE REGISTERED WITH THE DESIGNER BREED REGISTRY



DOGS INFORMATION                      

Breed:____________________________________________________________________Date Of Birth:_________/______________/____________

DBR Number______________________________________[    ]Male   [    ]Female    Micro Chip ID # if applicable:___________________________

Dogs Name:_|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Please print clearly in capitol letters..  
                                                               
Registrant Information

Owners Name:____________________________________________Co Owner:_____________________________________________

Owners Address:_________________________________________________________________City:________________________________

Country/State:_________________________________Postal/Zip Code:_________________Phone:__________________________________
                                                                                                                                                  One time
free consultation
Phone:_______________________________Best time and day to call for consultation_________________________________30
minute time alloted

Email____________________________________________________                                                                                                                                                                                                         
Owners Electronic Signature:___________________________________________________________Date:__________________

Problem:
(  )Housebreaking    (  ) Chewing   (   )Playing too rough  (   )Crate breaking   (   )Digging     (   )Jumping up    (   )Walking on lead     (   )Other  

Please copy/paste and email the completed application to:
traininghelp@designerbreedregistry.com



      Dogs being registered for consultation must be owned by the person/s  calling for consultation
                      Dogs MUST be registered with the Designer Breed Registry see link below