Class______________________________ Day of the Week____________________
Class Start Date__________________________ Time______________________
Owner________________________________________________________________
Address______________________________________________________________
City _________________________________________ Zip____________________
Home Phone ________________________ Business Phone______________________
E-mail Address________________________________________________________
Dog____________________________ Breed_______________________
Age______ Sex__________ Spayed Neutered Age when S/N____________
Age Obtained________ From Where_______________________________________
Please describe any training classes that you taken in the past.__________________
____________________________________________________________________
Veterinarian_________________________________Phone_____________________
Date of Last Distemper/Parvo Vaccine_____________ Rabies____________________
Has your dog attended training before________ Describe______________________
____________________________________________________________________
____________________________________________________________________
Has your dog shown aggression in the past to people or other animals? Describe.
____________________________________________________________________
____________________________________________________________________
____ I understand that there are no refunds.
Waiver, Assumption of risk and Agreement to hold harmless:
I understand that attendance of a dog obedience class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.
I hereby waive and release Positive Paws Training School, its employees, owners and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session or other function of the School, or while on the training grounds or surrounding area thereto.
In consideration of and as inducement to acceptance of my application for training membership in this obedience training class, I hereby agree to indemnify and hold harmless this School, its employees, owners and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or function of the School or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.
Signature ________________________________Date_____________
Class sizes are limited and close quickly!
To guarantee a spot in the class please Pre-Register by sending this form and payment to the address below!
Please make payments to:
POSITIVE PAWS
No Refunds.
Once your Pre Registration form and payment are received you will be emailed or mailed a registration packet. The registration packet will contain a class and payment confirmation, information explaining how to be prepared, the location of training and directions to the training site. Please contact us if there are any questions.
