Beginners Obedience Registration Form

Dogs must be 6 months or older at the time class begins.  Payment and proof or vaccinations are required before participation in the class. 

Owner's Last Name:______________________________________First:______________________

Spouse/Partner/Significant Other:______________________________________________________

Address:__________________________________________________________________________

City:______________________________________State:_________________Zip:_______________

Home Phone:_______________________Cell:____________________Work:___________________

Email:____________________________________________________________________________

Dog's Name:_________________________________Breed:________________________________

DOB:_____________________ Sex:    M     F

Tuition:  $75.00 per class

Proof of vaccination MUST accompany the Beginners Obedience Registration Form.  This policy is strictly enforced for the protection of each dog at Planet Canine.  Thank You for your cooperation.

In consideration of the acceptance of this registration, the owner hereby releases and agrees to hold harmless Planet Canine LLC and owners and staff thereof, from any liability for damages or loss, if any, suffered or sustained by the owner or handler of dogs as a result of personal injury or property damage occurring in connection with or during such training.  This tuition is applicable ONLY for a designated session and center credit will be given provided cancellation is made at least 24 hours PRIOR TO THE FIRST CLASS.  After that time, NO REFUNDS WILL BE MADE.  Center credit is valid for 6 months from date of cancellation.

__________________________________________________________  Date:__________________

Signature

*Office use only*

Date:____________________

Initials:___________________

Approved or Denied

Reason for Denial:_______________________________________________________