Out & About Registration Form
AFTER COMPLETING THE FORM PLEASE SEND CHECK TO THE FOLLOWING ADDRESS:

DOG-GONE FUN
LEVEL OBEDIENCE REGISTRATION
203 BERRY GARDEN ROAD
KERNERSVILLE, NC 27284


Class fee is $75 for 4 weeks
Please make checks payable to Dog-Gone Fun
Please write "Out & About Class" and dogs name in memo section of check
Please be sure to print and sign the WAVIER of LIABILITY form at the bottom and send in with payment if we don't already have one on file

Handler First and Last Name *
Your answer
Handler Home Address *
Your answer
Best Phone number *
Your answer
E-mail address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Veterinary Office Name *
Your answer
Veterinary Office Phone Number *
Your answer
Dog's Name *
Your answer
Dog's Gender *
Dog's Age *
Your answer
Spayed/Neutered *
Dog's Breed *
Your answer
Color/Markings *
Your answer
Please disclose any incident of aggressive or threatening behavior. If none, put n/a *
Your answer
Has your dog attended basic obedience classes either at Dog Gone Fun or elsewhere?
WAIVER OF LIABILITY FORM- Only sign if we don't have any on file from a previous class.
Using the link below, please print and sign the waiver of liability form. PLEASE SEND SIGNED FORM IN WITH PAYMENT. https://doggonefundaycare.files.wordpress.com/2018/02/dgf-liability-waiver.docx
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