PSRI Listing Form

Name *

Please be sure to use the name registered for the Puppy Start Right Instructors course as records will be verified. If you have had a name change, please indicate the name used when taking the course and your new name.

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I am currently teaching group Puppy Start Right Preschool group classes utilizing the curriculum provided in the course. *

Please indicate if you are offering Puppy Start Right classes utilizing the orientation and 4 puppy socialization classes. Including using the PSR Preschool branded materials. Mark other if you are deviating from the curriculum and provide more detail below.

Yes

No

Other

I provide my clients with a copy of the Puppy Start Right book as part of the course. *

Yes

No

Other

I utilize the PSR client videos as part of the PSR Preschool course with my clients. *

Yes

No

Other

Please list my website/PSR link for clients to find out more about my PSR Preschool classes.

Yes

No

Please provide my email address for potential PSR Preschool clients to contact me. *

Yes

No

Phone number (optional)

Indicate below if you would like to have your phone number listed.

Country

(###)

###

####

Please list my phone number

Yes

No

Please list my street address provided above in the listing *

If you would like your specific address to be available to potential clients, please check here. Otherwise, just your city and state/providence will be provided.

Yes

No