Canine Obedience Training, Inc.

Our goal is a happy, playful, obedient pet and a happy and content owner.

Canine Obedience Training Inc.
Villa Park Masonic Lodge
26 West Central Blvd.
Villa Park, IL 60181
Phone: 630.627.9416
Phone: 708.899.7015
For more information: Contact:Marianne Roberson

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|Midwest Labrador Retriever Rescue| |DuPage Animal Hospital|

Fill out and send this form online. Or you can print and fax or mail it. Acceptance subject to availability and review of application. Payment due first night of class, cash or check only (a $20 service fee will be charged for bounced checks). If you do not receive a confirmation of receipt for this application by phone or email within 48 hours, please contact Marianne Roberson.

SESSION DATE (see class schedule):

Training Application for: (please check appropriate class)

Class Time Fee
7:00-8:00 p.m. $100.00
6:00-7:00 p.m. $100.00
8:00-9:00 p.m. $100.00

How did you hear about us?

Owner Name:

Owner Email:

Name of Person Training Dog:


City: State: Zip:


Breed: Color: Sex:

Call Name: Birthdate:

Innoculations: DHLPP Date:
Rabies Date:
Bordatella (required) Date:
Lab Work: Heartworm Test . . . Date: Pos. Neg.
Stool Check . . . Date: Pos. Neg.

Please check all appropriate boxes:
Housesoils Chews Digs Mouths
Bites Jumps Up Barks Excessively Aggressive
Other (explain):

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|training theory| |class schedule| |instructors| |location| |reviews| |application|
|Midwest Labrador Retriever Rescue|

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other form without written consent of Canine Obedience Training, Inc. is prohibited.