Training Registration

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Course Name
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Course Date and Time

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Personal Information
Your Name(*)
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Your Email(*)
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Email Confirmation(*)
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Home Phone(*)
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Pet Information
Dog's Name(*)
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Dog's Age at Start of Class(*)
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Breed
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Neutered/Spayed(*)

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AGREEMENT TO HOLD HARMLESS WAIVER & ASSUMPTION OF RISK I understand that attendance at dog training class is not without risk to myself, members of my family or guests who may attend or my dogs because some of the dogs to which I 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 K9 Central Inc. and their assistants, employees, officers and agents from an and all liability and any nature for injury and damage which I or my dog may sustain including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other functions, or while on the training grounds or the surrounding area hereto. In consideration of and as inducement to the acceptance of my application for training membership by K9 Central Inc. I hereby agree to indemnify and hold harmless these instructors, employees, assistants, officers, members and agents from any and all claims, or claims by any members of my family, or any other person accompanying me to any training session or function or while on the grounds or the surrounding are thereto as a result of any action by any dog, including my own.
You will be required to show vaccination records at your first class. You will receive a telephone call for payment within 48 hours of registering for this course. Please contact our office if you do not hear from us within this time frame to secure your spot.
Veterinarian Information
Veterinarian Name
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Email
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