Class Enrollment Form

Class Enrollment Form

Complete the information below.
Your Name

First Name Last Name
Your E-mail
example@example.com
Phone Number

Area Code Phone Number
Your Address

Street Address

Street Address Line 2

City State

Postal / Zip Code
Where did you here about us?
Dogs Name
Age
Breed
Gender
Is your dog current on vaccinations according to your veterinarian's recommendations?

Yes No
Do you have any prior dog training experience, if yes please list?
By signing up for training classes, events, workshops or any other activities, you agree to the following liability release:
I am aware of the risks from handling animals: property damage or injury to myself, to my animal(s) or to members of my family or friends. In consideration of being permitted to enroll in the class/event/workshop, I do assume full responsibility for any actions of the dog I am enrolling and agree to hold harmless and indemnify any person associated with Canine Training Adventures, LLC. I also understand that participating in training classes is not without risk to me or my dog. I hereby agree to hold harmless all instructors and agents of Canine Training Adventures, LLC from any and all claim of injury or damage which I or my dog may suffer while participating.
I have read and agree to the above Liability Waiver and that the above information provided is true.
My Products
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Agility For Fun $ 140.00
6 week class

Total $ 0.00
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