Adult Manners Registration (Trainer

Dog Guardian's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student E-mail*

example@example.com

Mobile Number*

Phone Number

Dog's name:*

Dog's breed:*

Dog's age:*

Dog's sex:*

FemaleFemale spayedMaleMale neutered

Where did you adopt/acquire your dog from?*

Is your dog current on Rabies (4 months and older); Distemper (DHPP); and Bordetella (Kennel Cough) vaccinations?*

Proof of vaccination is required to attend classes.

Does your dog have any aggression issues (will need instructor approval to attend class)?*

Where did you hear about Spot On Dog Training Center?*

Classes*

Adult Manners: Sunday - 2:15pm: January 11th (No class February 8th) (Last class is February 22nd) (6 classes) FULL!Adult Manners: Monday - 7:15pm: January 12th (No class February 9th) (Last class is February 23rd)(6 classes) FULL!Adult Manners: Sunday - 2:15pm: March 1st (No classes March 8th & 15th; April 5th, 12th, & 26th) (Last class is May 10th) (6 classes)Adult Manners: Monday - 7:15pm: March 2nd (No classes March 9th & 16th; April 6th, 13th, & 27th) (Last class is May 11th) (6 classes)

6 week class is $200
There will be no payment refunds, unless either a doctor's or veterinarian's note is provided, if you withdraw from a class with less than two weeks notice, or if you withdraw after the class has started

Liability Waiver:

I, the undersigned, confirm that I am the owner or person responsible for the dog(s) brought into Maya Robinson's classes and Spot-On Dog Training Center. I understand that Maya Robinson and Spot-On Dog Training Center are not responsible for any injuries or illnesses incurred by myself, my dependents, my guests or my dog(s) as a result of participation in this class and I waive and release any such claims resulting from participation in this class.

I understand that Maya Robinson and Spot-On Dog Training Center are not responsible for any damages caused by my dog(s) to persons, animals or to any property and are not responsible for any injuries or illnesses incurred by myself, my dependents, my guests or to my dog(s) as a result of participation in this class. I agree to indemnify and hold harmless Maya Robinson and Spot-On Dog Training Center and its owners and employees from any such claims.

I agree that payment in full is due at the time of registration. I understand that there will be no payment refunds, unless either a doctor's or veterinarian's note is provided, if I withdraw from a class with less than two weeks notice, or if I withdraw after the class has started.

Signature (please use mouse to sign)*

Additional Comments

Classes*

Adult Manners: Sunday - 2:15pm: March 1st (No classes March 8th & 15th; April 5th, 12th, & 26th) (Last class is May 10th)(6 classes)

$200.00 Quantity
Item subtotal:$0.00

Adult Manners: Monday - 7:15pm: March 2nd (No classes March 9th & 16th; April 6th, 13th, & 27th) (Last class is May 11th) (6 classes)

$200.00 Quantity
Item subtotal:$0.00

Total

$0.00

Pay with Credit Card