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Class Registration Form
Please note: you will need to bring photocopies of your dog's vaccination records to your first class.
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Email
*
Your email
Class Registering For:
*
Puppy FUN Class - December 6th 11:30AM - 12:30PM
Puppy FUN Class - December 8th 4:45PM - 5:45PM
Household Obedience 1 - November 15th 2PM - 3PM
Household Obedience 1 - November 25th 4:45PM - 5:45PM
Scent Work 2 - December 4th 6PM - 7PM
Pre-Agility FUN Class - November 1st 3:15PM - 4:15PM
Scent Work 2 - November 15th 12:45PM - 1:45PM
Scent Work 3 - December 1st 6PM - 7PM
Beginning Agility- November 1st 4:30PM - 5:30PM
4 Paws on the Floor Workshop - December 3rd 4:45PM - 5:45PM
*WAITLIST Canine Good Citizen - November 11th 6PM - 7PM
Required
Does your dog go to weekly daycare and/or planning to board during the course of the class?
*
Yes
No
Where did you hear about us?
Your answer
Dog's Name:
*
Your answer
Dog's Sex
*
Male
Female
Dog's Birthdate
*
MM
/
DD
/
YYYY
Breed:
*
Your answer
Weight:
*
Your answer
Have You Taken a Class Before:
*
Yes
No
If yes where
Your answer
Are you having problems in any of the following areas:
*
None/Other
Play Biting
Jumping
Accidents in the House
Aggression Towards Other Dogs
Aggression Towards People
Shyness
Barking (excessive)
Chewing
Digging
Required
*If other what problems or issues you would like to address?
Your answer
How old was your dog when you adopted or bought it?
Your answer
What do you like most about your dog?
Your answer
What are your future goals for your dog?
Your answer
Your Dog's Veterinarian:
*
Your answer
Veterinarian's Phone:
*
Your answer
Is your dog spayed/neutered?
*
Yes
No
Your Name:
*
Your answer
Address/City/State:Zip
*
Your answer
Phone Number
*
Your answer
email
*
Your answer
Signup for our Monthly Newsletter
*
Choose
Yes
No
WAIVER OF LIABILITY:
I hereby acknowledge that I have voluntarily applied to participate in dog training activities with “Something Els Dog School, LLC”. I am aware that there are inherent risks and hazards involved in activities with and around dogs, and I am voluntarily participating in these activities with knowledge of potential dangers. I am aware that any dog, regardless of training, handling, or environmental circumstance, is capable of biting and I expressly acknowledge the risks therein. In order to participate in dog training classes or other activities, I, being fully informed of such risks and hazards, agree to assume all risks of such occurrences. I hereby waive any and all claims or actions that I or my guardians or representatives may have, from any and all personal injury to myself, my dog, children in my charge, or harm to property or person caused directly or indirectly, through action or inaction of self or others, by acts that might occur in dog training classes, any other format of training activities or secondary training without trainer present or engaged. I AGREE TO INDEMNIFY “Something Els Dog School, LLC” AND ITS EMPLOYEES AND AFFILIATES FROM ANY AND ALL CLAIMS BY MYSELF, MEMBER OF FAMILY, OR ANY AGENT WHILE WITHIN TRAINING FACILITIES, WITHIN MY HOME PROPERTY, OR IN THE GENERAL PUBLIC AS A RESULT OF ANY ACTION OR INACTION, OF EITHER MY DOG OR ANY ANOTHER. I ALSO AGREE TO ASSUME SOLE RESPONSIBILITY FOR INJURY OR DAMAGE CAUSED BY MYSELF, CHILDREN IN MY CHARGE, OR BY THE DOG I OWN OR HANDLE AND FURTHER AGREE TO INDEMNIFY, DEFEND AND HOLD THE INSTRUCTORS, TRAINERS, ASSISTANTS AND PROPERTY HARMLESS FROM ANY DAMAGE, LOSS, LIABILITY OR EXPENSE, INCLUDING LEGAL COST AND ATTORNEY’S FEES, WHICH RESULT FROM DAMAGE CAUSED BY MYSELF, CHILDREN IN MY CHARGE, OR BY THE DOG I OWN OR HANDLE. I am fully aware of risks and hazards connected with being on the premises of Something Els Dog School, LLC, and I am fully aware that there may be risks and hazards unknown to me connected with being on said premises. I hereby elect to voluntarily be on and upon the premises and engage in activities knowing that conditions may be hazardous or may become hazardous or dangerous to me and my property. I voluntarily assume full responsibility for any risk of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of my being on the premises, whether caused by the negligence of Something Els Dog School, LLC, its owners, employees or agents or otherwise.I have provided current vaccination documents from a licensed veterinarian.” Something Els Dog School, LLC “may use pictures of me or my dog for publicity or promotional purposes of Something Els Dog School, LLC without liability or obligation of any kind to me; however, no information/pictures can be sold or shared otherwise without additional consent. I have read the policies for dog training and I agree to adhere to them.
Refunds *
I UNDERSTAND THAT I AM RESPONSIBLE TO CANCEL NO LATER THEN 48 HOURS BEFORE THE FIRST CLASS TO RECEIVE A REFUND (
minus $25 for administrative fees
.) THERE WILL BE NO REFUNDS AFTER THAT DATE.
By checking this box, you hereby agree to the terms and conditions set forth above.
*
I Agree
Required
A copy of your responses will be emailed to the address you provided.
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