| CANINEPAWZABILITIES Training Classes |
Owner:________________________________________________________________
Telephone #:___________________________________________________________
Address:_______________________________________________________________
Email:_________________________________________________________________
Dog's Name:_______________________Age:________Breed:____________________
Male or Female___________ Spayed or Neutered Y/N
Veterinarian's Name & Phone number:_______________________________________
______________________________________________________________________
Telephone #:___________________________________________________________
Address:_______________________________________________________________
Email:_________________________________________________________________
Dog's Name:_______________________Age:________Breed:____________________
Male or Female___________ Spayed or Neutered Y/N
Veterinarian's Name & Phone number:_______________________________________
______________________________________________________________________
Signature of Dog Owner/Student For
Acceptance:_________________________________________________________
Date:_______________________________
Class:_________________________________________________________________
Shots approved:__________________________________________
(Class enrolled & Shot approval will be filled in by the Training Director)
Acceptance:_________________________________________________________
Date:_______________________________
Class:_________________________________________________________________
Shots approved:__________________________________________
(Class enrolled & Shot approval will be filled in by the Training Director)
| SEND FORM, COPY OF CURRENT RABIES CERTIFICATE AND CHECK PAYABLE TO M. LABAGH |
| Registration Form To Bring To Class Or Mail In |
| Note: Registration form must be received prior attending Class with a check for $120.00 made to M. LaBagh Must Bring In order To Attend** Cost:: Obedience Classes: $120.00 For entire 6 Week Session |
| **** Can Mail In Only IF Prior to 9/15/08*** Address For: CANINEPAWZABILITES C/O M. Labagh, Director of Training 6 M&M Rd Middletown, NY 10940 |
| I understand that attendance of dog training classes is not without risk to myself, my dog or any guests that I may bring to class. I hereby waive CANINEPAWZABILITES & their instructors from any and all liability of any nature. I expressly assume the risk of such damage or injury while on the premises of the facility. NO REFUND OR CREDIT WILL BE GIVEN for any classes missed or unattended for whatever reason. I understand that if my dog shows any dangerous behavior in any way, that we will be immediately dismissed, without refund. Dismissal will be made at the sole discretion of the Instructor or Program Director. |
