Transportation Permission Slip

Transportation Permission Slip
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
I give permission for my dog blanks* (dogs name) to be transported by Frederick Family Dog Training LLC. See authorized transporters below.
Though not likely to happen, I will hold harmless Frederick Family Dog Training LLC in any incident resulting in injuries and/or trauma, such as car accidents or other unprecedented events during transportation, Take and Train Lessons, and/or Intensives.

This permission slip is valid for one year from signed date.
I have read the above paragraph.*

Yes
I prefer my dog to be transported in the vehicle by:*

KennelFree in vehicleEither kennel or free in vehicle
I understand I am required to be present at pick-up and drop-off or have arranged for another adult to be there.*

Yes
Signature*

Clear
Signed Date*

MonthDayYear
Date
FFDT Trainers and Contractors, authorized for transport during Take and Trains and Intensives:

Kellie Frederick

Terrell Frederick

Emma Postma

Cordelia Page
Should be Empty: