Which class would you like to participate in?

Pre-school - Puppy Class   Grammar School - Beginner Class

Middle School - Intermediate Class High School - Advanced Class

College - CGC Class

What breed of dog do you have?

Afghan Airdale Akita Alaskan Malamute American Eskimo Australian Cattle Dog Australian Shepherd Basenji Bassett Hound Beagle Bearded Collie Bedlington Terrier Belgian Shepherd - Malinois Bernese Mtn Dog Bichon Frise Border Collie Bouvier Boxer Brittany Spaniel Bulldog Bullmastiff Cairn Terrier Cavalier King Charles Chesapeake Bay Retriever Chow Clumber Spaniel Cockapoo Cocker Spaniel Collie Dachshund Dalmation Deerhound Doberman Elkhound English Springer Spaniel English Setter Flat-Coated Retriever German Shepherd Golden Retriever Gordon Setter Great Dane Great Pyrenese Greater Swiss Mountain Dog Greyhound Havanese Irish Setter Irish Wolfhound Italian Greyhound Italian Spinone Jack Russell Terrier Keeshonden Kuvasz Labrador Retriever Leonberger Lhasa Apso Maltese Newfoundland Old English Sheepdog Pekingese Pit Bull Pointer Polish Lowland Sheepdog Pomeranian Poodle - Mini or Toy Poodle - Standard Portugese Water Dog Pug Puli Ridgeback Rottweiler Russian Wolfhound - Borzoi Saint Bernard Saluki Samoyed Schipperke Schnauzer - Giant Schnauzer - Miniature Scottish Terrier Shar-Pei Shetland Sheepdog (Sheltie) Shiba Inu Shih Tzu Siberian Husky Silky Terrier Soft-Coated Wheaten Terrier Tervueren Shepherd Tibetan Mastiff Tibetan Terrier Viszla Weimaraner Welsh Corgi - Pembroke or Cardigan Welsh Springer Spaniel West Highland White Terrier Whippet Wire-haired Pointing Griffon Yorkshire Terrier (Other) Other:

           

Dog's Name

Dog's Birthday

Is this the dog's first obedience class. If not, when and where has the dog attended obedience classes:

Is this your first obedience class. If not, when and where have you attended obedience classes:

Are you currently having any particular problems with the dog that would need to be addressed in either a classroom or private lesson environment:

What would you like to accomplish in this class:

General Release

I, the under signed, as the owner/handler or the owner's representative of the dog known as , do hereby release and hold harmless, Dog Wash express & Spa, Inc, The Learning Center and all their training staff, officers, agents, associates and all persons connected herewith, from any and all liability, claims or causes of action which my arise from any and all participation in dog training or other related activities performed by the above referenced individual(s). I assume full responsibility for the actions of the above referenced dog and any resultant consequences of those actions throughout the entire course of the instruction and other related activities. This release extends and applies to my agents, heirs and other persons of interest to all liabilities, injuries, damages, losses as well as any consequence thereof. I have read this release and evidence my understanding of its terms, conditions and consequences by executing this document below. In doing so, I agree to be bound by its terms and conditions contained herein. I also understand that aggressive behavior on the part of my dog toward any person or other dog will result in dismissal from class, repeated aggression will result in permanent dismissal from the program with no refund of training monies.

                        Left Click to accept the above terms.

Tell us how to get in touch with you:

Name of Owner
Name of Handler
Handler Age if under 18
Address
City, State, Zip
E-mail
Tel
FAX

Please contact me as soon as possible regarding this matter.

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