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CASE STUDY SUBMISSION FORM
PAWlitically INcorrect Dog Symposium
February 25, 2002 • Novato, CA

We will review your case study and let you know by Monday, February 18th if it has been selected. Please note, only a limited number of cases will be allowed and cases will be chosen based on the educational value to the attendees. Some cases will be chosen for the lecture portion and other cases will be discussed in the breakout sessions.

If your dog is chosen as a case study, you must be able to confine your dog in a crate (for safety reasons) when not being used for demonstrations.


First Name:
Last Name:
Address:
City:
State:
Work Phone:
Home Phone:  
Email:
Type of case study:
Dog's Name:
Dog's Age:
Dog's Breed:
Dog's Sex:
Spayed/neutered:
Where did you get the dog?

Why did you choose this breed/dog?

What was the dog's previous environment?

What do you know of the dog's parents and/or siblings?

Additional comments.

Members of the family: # of adults
Children: Age/Sex:

Reason for submitting a case study:

Exercise (type, frequency, duration, reaction):

Exposure to other animals (where, frequency, reaction):

How do you discipline your dog's reaction?

Training to date (where, type, basic commands):

When did you first notice the behavior?

What have you done to correct the behavior?

How did your dog react?





Thank you for taking the time to submit your case study.

Puppyworks
PO Box 954
Benicia, CA 94510
events@puppyworks.com