Mandatory fields are marked with an asterisk (*)

Dog Name *

Class *

Owner Name *

Email *

Street Address *

City *

State *

Zip Code*

Phone *

Dog Breed *

Age *

Gender

MF

Spayed/Neutered

YN

How long have you had this dog?

Brand of food

Why are you training this dog?

State primary problems

Does your dog show any aggression towards people?

YN

Does your dog show any aggression towards dogs?

YN

State any serious illness or disorders your dog had.

Was the condition treated by the veterinarian?

YN

Does handler have any special needs?

YN

Have you trained at any other school?

YN

How did you hear about our school?

Web searchReferralVeterenarianOther

What search phrase did you use in Web search?

DOG LOVERS OBEDIENCE SCHOOL Waiver, Assumption of Risk and Agreement to hold harmless

I understand attending a dog obedience training school class is not without risk to myself, members of my family, guests who might attend, or my dog because of some of dogs to which I (we) will be exposed might be difficult to control might be the cause of injury even when handled with the greatest amount of care.

I hereby waive and release DOG LOVERS OBEDIENCE SCHOOL, and its employees, officers, owners, members and agents from any and all liability of any nature, for injury or damage which I or my dog might suffer, or cause, including specifically, but without limitations, any injury or damage resulting from the actions of any dog, and I expressly assume risk of any such injury or damage while attending any training session or other function of the said school or while on the training grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training membership by this school, I hereby agree to indemnify and hold harmless this school, and its employees, officers, owners, members 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 there to as a result of any action by any dog including my own.

TALENT RELEASE STATEMENT: I authorize DOG LOVERS OBEDIENCE SCHOOL to use my names dependent’s name(s), and animal’s name and picture in all areas of advertising media.

TUITION IS NONREFUNDABLE

We will, however, transfer you to another class within 2 registrations if you dog cannot complete the course due to illness or coming to season.

* I agree