Aqua Therapy Certification Class
Street Address Line 2
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Please enter a valid phone number.
Which class date(s) would you like to be considered for?
Do you currently work with dogs?
If yes, what is your experience? If no, what is your current occupation?
Do you have experience working with people, if yes please describe?
What types of previous training do you have, if any, working with animals or people? What classes have you taken?
Do you have any certifications? If yes, please list certifications and the school where they were received at.
What is your experience with being in the water and/or swimming?
Additional comments relevant to this application:
Course Tuition = $2,350 USD
The class size is limited to 4 people. Upon approval, we will notify you via email to pay the deposit of $350, officially reserving your space in the desired class. Deposits are non-refundable. You can transfer to another class date upon approval.
By signing this application, I agree that I am registering for a program through The Canine Fitness Institute, for the purposes of providing me with training in Canine Aqua Therapy. I understand that completion of the program does not give me legal license to practice, nor does it satisfy any legal or state requirements of any kind. I further agree to assume all risk, and to release and hold harmless The Canine Fitness Institute, Aqua Therapups LLC, and its principal Rebecca J Pease from any and all liabilities. It is my express intent that this shall also bind the members of my family and all respective heirs, executors, administrators, legal representatives, successors, and assigns, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this shall be construed in accordance with the laws of the State of Wisconsin. I understand that upon receipt of this application, The Canine Fitness Institute will confirm availability.
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