Tel: 845-635-8977
Positive Paws Registration
Circle One in Each Group.
CLASS:
Puppy Kindergarten Elementary High School K9 College
Canine Good Citizen Agility-4-Fun Rally-Obedience Tricks-4-Fun
K9 Nosework Walk this Way
DAY: Monday Tuesday Wednesday Thursday Friday
TIME: 5pm 6pm 6:30pm 7pm 8pm
START DATE_____________________________________
Owner______________________________________________________________________________________
Address_____________________________________________________________________________________
City __________________________________________________________ Zip___________________________
Phone Numbers _____________________________________________________________ E-mail ____________________________________________________________________
Dog ____________________________________________________________________ Breed ___________________________________________
Age_______ Sex (Circle one) MALE FEMALE (Circle one) NEUTERED INTACT
Veterinarian________________________________________________________________ Phone______________________________________________
Please initial the following:
_____ My dog has NOT shown aggression to other dogs or people.
_____ I understand that any dog displaying aggressive behaviors will be asked to leave.
_____ I understand that there are NO Refunds.
_____ If owner must reschedule or miss a lesson, it must be done by phone 24 hours prior to the scheduled lesson, if not, that lesson will be forfeited.
_____ Owner is responsible for payment of all monies due, whether or not they choose to complete all lessons or not.
_____ Homework will be assigned at each lesson and results will depend on the amount of practice.
Waiver, Assumption of risk and Agreement to hold harmless:
I understand that attendance of a dog obedience class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to
which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.
I hereby waive and release Positive Paws Training School, its employees, owners, and agents from any and all liability of any nature, for injury or damage which I or my dog may
suffer, including specifically, but not limited to, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while
attending any training session or other function of the School, or while on the training grounds or surrounding area thereto.
In consideration of and as inducement to acceptance of my application for training membership in this obedience training class, I hereby agree to indemnify and hold harmless this School, its employees, owners 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 thereto as a result of any action by any dog, including my own.
Signature____________________________________________________________Date______________________
Mailing Address
Positive Paws Dog Training