Paws and Effects Course Registration Form

Paws and Effects Group Class Registration Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityProvince

Zip CodeCountry
E-mail
example@example.com
Mobile Number
Phone Number
Dog's Name*
Gender
Dog's Breed*
Birth Date (mmddyyyy)

MonthDayYear
Is your dog spayed/neutered?
Courses*
What three things do you want to teach your dog in this course?
Are you having any particular problems with your dog? Please describe. (Collar restraint, barking, lunging, nipping)
Waiver:

I acknowledge that I am participating in a training class for dogsI understand that such a class has an element of risk.Instructors will take all possible precautions but I understand that there may be a risk to people or animals in a training class for dogs. I hereby absolve the instructors, assistants, owners of the premises, owners of any equipment and any other participants of responsibility or liability for any accidents or injuries that may result from said activities.I understand that results will vary depending on the amount of home practice time given to the exercises demonstrated in class.
My dog is up to date on all necessary immunizations as recommended by my veterinarian.I agree to allow Paws and Effects to publish photos of my dog participating in class.
I have read the above information.

I have read and understood the cancellation policy .

My signature below verifies that I agree to continue with the program.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Paws and Effects Group Class Registration Form