Enrollment Form
What you give is what you'll get
The more closely you follow this program with
your dog, the more success and enjoyment
you will receive. Please attend
the Dog Behavior Seminar at least
once. Puppy Parties and
Socialization Classes may be attended
until your dog is 20 weeks. Puppy
classes can be made up as long as
the dog does not have adult canine
teeth.
Health Requirements
Puppies must have had a physical
exam, at least one set of vaccines,
monthly flea control and a negative
fecal or monthly internal parasite
control program.
Release of
Liability Statement
I release this business and
associates, officers, agents, and
employees of any liability for the
loss of my dog whether by theft,
escape, illness, death or injury
before, during or after this training
program. As owner, I accept any
and all liability for my own pet
and its actions.
By signing this
enrollment form, I are agree to
assume full responsibility for keeping
my dog healthy and under control
at all times. I will not bring to
class a dog who is lethargic, has
diarrhea, excessive coughing, or
any sign of illness. I understand
my dog could catch something any
time it comes in contact with other
dogs. I have or will complete all
medical requirements before first
day of class.
I have read, understood
and hereby agree to all terms stated
in this enrollment agreement.
Owner Name (Printed):
Address: City; Zip
Daytime phone:
Night phone:
Fax: E-mail:
Dog Name:
Dog Breed:
Birthdate: Sex (circle): M / F Altered
(circle): Yes / No
Authorization: (signature):
___________________________
Date: ___________
Paid: (Circle) Cash
Check Bankcard: Print # Carefully
(Visa, MCard, or AMEX only)
Card type: Card #: Exp. Date
No
refunds after the first training
class has started.
How did you hear about this class?
