K9 Etiquette Training Class Registration
Class Fee: $_________. A non-refundable deposit of $_________ is required for a held spot in class.
Owner's Name: _________________________________________________
Address: ______________________________ City: ___________________
State: _______ Zip: ____________ Email: ____________________________
Home Phone: (____)_____________ Alternate Phone: (____)______________
Dog’s Name: ____________________ Breed: _________________________
Dog’s Age: _________ Sex: __________ Spayed/Neutered? No ____ Yes____
Please provide proof of animalís current vaccination history. Rabies and Distemper vaccines are required for class. Bordetella is suggested.
How did you hear about us? ________________________________
Please list anything you want covered in class: ____________________________________________________________________
Release of Liability
I, (owners name)_____________________________, as the legal owner of (Dog’s name) ____________________ do hereby waive and release, Susanne Shaw of K9 Etiquette from any and all liabilities of any nature. I agree to take complete responsibility for the actions of my dog, and myself before, during, and after class. At no time will the instructor of this class or owner of this facility be liable or responsible for the actions of myself, my dog, or anyone who accompanies me to class.
Signature of Owner: ____________________________________ Date: _____________________
Printed Name: ________________________________________