Atta Pup Class and Event Registration Form

Human's Name*

First NameLast Name

Phone Number*

eg 021Phone Number

E-mail*

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dog's Name*

Dog's Age*

Dog's Breed*

Dog's Gender*

MaleFemale

Is your dog spayed/neutered? If so, when?*

What is your dog experience?*

Has your dog ever acted aggressively towards other dogs? If yes, please explain: *

Has your dog ever acted aggressively towards people? If yes, please explain:*

What are three goals you have for this class? (For events, type N/A.)*

What is your favorite thing about your dog?*

How would you describe your dog?*

May we take pictures of your class experience?*

YesNoPhotos of dog only

Does your dog have any allergies or medical conditions? If yes, please describe.*

Would you like a specially curated training kit? (New clients in full-length classes only.)*

How did you hear about Atta Pup?*

What is your T-shirt size? (Full-length classes only.)*

Terms and Conditions

Your first class is orientation.* It is held without dogs and is mandatory to attend the class. If you cannot make it to your orientation, please inquire before skipping it. *Full-length basic and puppy classes only.*

Class or Workshop Sizes and Low Registration: Classes, training club, and workshops are required to have a minimum of three registered students to run with a maximum of six or eight. We try to avoid canceling a class or workshop entirely and denying anyone a training experience. If your choice still has a low number of registrants before it begins, it may be combined with another available that day (for classes) or you may be asked to move to another event (for workshops.) When necessary, we adjust the curriculum to accommodate these changes and please all attendants. If this adjustment is too large (such as two completely different topics,) we will attempt to notify you and discuss options. If you do not want to combine classes or switch workshops, your funds will be kept on record as a credit for 1 year to be used with any other class(es,) events, services, or products.

Attendance: While we do not recommend it, we allow two missed absences for full length class graduations. If your dog or puppy misses more classes, they may continue to attend but will not receive a graduation certificate or gift. Make-up classes are not guaranteed but may be available on a case-by-case basis.

Payment: Payment is due prior to the first class. Please check your calendar and registration form before submitting payment. In the case of scheduling conflicts, registrations may be transferred from one dog/family to another (you can trade with a friend.) This must take place before the first class. Full cancellation and refund policies can be seen on our website here. Please check your total before hitting submit. No refunds will be given for any reason, including accidental orders.

Prepaid Classes: When registering for a prepaid class, you understand the class schedule may not yet be released. Once the schedule is released, it is your responsibility to tell us which class you want to join so we reserve our spot. By purchasing a prepaid class, you acknowledge there is a possibilty the class you want will fall on a date that is not ideal for your schedule. To best prevent this, we suggest you ask for a possible schedule before submitting payment.

Summer/Winter Training Club Vouchers: We encourage all students to use summer or winter vouchers within the season they are purchased. If unused vouchers remain, the student must trade them in within one month of the last day to exchange for credit toward other services. All vouchers expire after one month of the last training club day.

Additional fees: Some classes may require additional fees. Currently, the only classes this applies to are Canine Good Citizen (CGC) and Puppy S.T.A.R. There will be an additional fee for the CGC test (TBD), as well as payment to the AKC ($10-$20) for your certificate upon passing. Neither the CGC nor Puppy S.T.A.R. tests are required to pass the class.

Removal from training: Trainer, at his/her sole discretion, may remove a pet or person from class if a hazard or threat of any nature to any animal or person is present. This includes those adding ongoing emotional stress to the group. No refund will be given under such circumstances.

Vaccinations: You may bring any vaccination or titer records with you to the first class. We recognize over-vaccination of pets is a very real concern. If you'd like more information on this or the use of titers, we suggest visiting http://www.protectthepets.com

Child Policy:

Children seven years and under MUST have another adult with them unless previously discussed with the instructor.
Shoes (and other clothes) must be kept on at all times.
Out of respect for the instructor and other attendants, children will stay quietly in their seats unless calmly interacting with their parent and dog or asked by the instructor to move around. They may not be constantly requiring the parent's attention.
Please do not bring phones or tablets as a way to occupy your child. Books, magazines, drawing supplies, and other non-electronic devices are encouraged.
If your child cannot sit still or calmly participate, please find other accommodations for them.
If a child violates these terms, you will be asked to return to other classes without them.
Note - If a child has a disability and needs a special accommodation, you must contact us before bringing them to class. We need to be sure we can provide what is needed.

Please type your initials to show you understand and agree to the above statements.*

Liability

I, the undersigned owner/handler (client) of the dog described above do hereby agree that Heather Gruber, Atta Pup! Dog and Puppy Training/Training and Pet Care and all Atta Pup! Training employees and agents will not be liable for any damage, injury, or loss resulting from failure of the dog to respond to any cues or behaviors taught to him/her by Atta Pup! Training or resulting from counseling and advice supplied to the owners/handlers of the dog. The dog’s behavior now and in the future is solely the responsibility of the owners/handlers (client) of the dog. Should any behavior on the dog’s part now or in the future result in damage to the property, owners, or person or property of some third party, owner agrees to assume full responsibility for any and all such damage, and to absolve Heather Gruber and Atta Pup! Training and all Atta Pup! Training employees and agents from any and all obligations to pay such damage to owner/handler or third party. All dogs are trained or otherwise handled or cared for by or owner/handler receives instruction from Heather Gruber and Atta Pup! Training without any liability whatsoever against Heather Gruber, Atta Pup! Training or any Atta Pup! Training employee or agent for loss, damage from disease, death, running away, theft, fire, injury to or from persons, other dogs or property, or by any other causes. This release of liability of Heather Gruber, Atta Pup! Training/Dog and Puppy Training and Pet Care and all Atta Pup! employees and agents also covers any damage, injury, or loss involving all members of my party and myself.

At Trainer's sole election, Trainer's duties hereunder shall terminate if (a) in Trainer's sole judgment Dog is dangerous to Trainer or any other person or animal, or interferes with the training of other dogs, or (b) Client breaches any term or condition of this Agreement. Upon termination in accordance with the foregoing, Trainer's duties shall terminate but all other provisions of this Agreement shall continue in full force and effect.

I understand all classes require a degree of physical fitness. I hereby state both my dog and I are physically capable of participating in this class. I will monitor our physical states and make it known to the instructor if I feel we may not be able to do a specific activity in any or all capacity. I understand checking with medical professionals may be suggested before signing up for a class (i.e. Fit Fido aka Cardio Canine) and release and hold harmless Heather Gruber and Atta Pup! Training and all Atta Pup! Training employees and agents from any and all liability.

I represent that I have read this Release before signing it and understand its provisions. I affirm and warrant that I have reached the age of majority (I am 18 or older) and have full authority to make the grants herein contained.

My Products*

Prepaid Classes

New Client Beginner Prepaid Classes$295.00

This option is for those looking to: • lock in the current class price • pay ahead while funds are available • purchase a class as a gift • attend a class that has already started (approval required)

Class LevelNumber of dogs
Item subtotal:$0.00

Returning Beginner and Intermediate Prepaid Classes$235.00

This option is for those looking to: • lock in the current class price • pay ahead while funds are available • purchase a class as a gift • attend a class that has already started (approval required)

Class LevelNumber of dogs
Item subtotal:$0.00

Enter coupon

Total $0.00

Credit Card

If you are registering for one of our regular classes, leave this box blank. If you are prepaying and requesting a specific class or event that is not currently running, please indicate so here and choose a prepay option above.

Prepay options are nonrefundable. If your chosen class or event does not run, your payment will be held on file for one year to be applied to other services.

Please check your total to confirm your class(es) and then sign and date below. (We cannot refund accidental registrations, but we can credit them or transfer in some cases.)

Signature*

Date*

Date

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.