Surefire Kennels Training Information Sheet

Steadiness can be a complex and challenging process for dogs and handlers. We are so excited to help you work through every step of the process. Fill out the following information to register for the Small Group Class!
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Would you like to be included in the group text? (This will be used for mid-week check-ins, ask questions & get encouragement between classes)*

YesNo
Dog's Registered Name
Skip to next question if Not Applicable
Dog's Call Name*
Breed*
Sex*

Intact MaleNeutered MaleIntact FemaleSpayed Female
Dog's Birthdate*

MonthDayYear
Date
Upload Vet Records Here*

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Has your dog been through a Steadiness Program before and you are using this as a refresher course?

YesNo
INHERENT RISK OF DOG TRAINING:I understand that there are inherent risks associated with Dog Training either private or in a group setting for Gun Dog,Field, Water, Obedience and working with dogs in general. I assume any and all responsibility for myself and my dog(s)during Dog Training for Gun Dog, Field, Water, Obedience and any other work with Surefire Kennels LLC assuming duediligence and care have been exercised. I will not hold Surefire Kennels LLC, Jacob and/or Sara Heesacker, any affiliatesor property owners responsible for any injuries or misfortunes (to or by me or my dog) while training, actively workingdogs, walking or any other work, should they occur. I acknowledge that training location, and the animals, guests, itemsand activities there on, pose dangers to people and animals. Such dangers include, by way of example and not limitation:(a) animals that are difficult to control and that may bite, trip, knock down, collide, or fight; (b) the use of shot gunsduring the training and/or competition; (c) natural and man-made hazards (e.g., wildlife, equipment, slippery surfaces,or trip hazards) that may exist on training and/or competition location; (d) hazards associated with travel to and fromtraining and/or competition location; and (e) injury or death of the Dog. Accordingly, as the owner of the dog, I assumethe risk of injuries, losses, damages, costs and expenses by any means above described, and other injuries, losses,damages, costs and expenses of every possible cause and description. If the dog is injured or dies in a dog fight or anaccident, gets fleas, ticks or worms, contracts any illness or disease, is lost or stolen, or engages in any dangerous,vicious or unwanted behavior, during or after the term of this agreement, on or off training location, the owner of thedog accepts the risk of the same and agrees that Surefire Kennels LLC, Jacob and/or Sara Heesacker, shall not be heldresponsible for it or any resulting injuries, illnesses, losses, damages, costs or expenses whatsoever. I further understandthat due to the outdoor nature of field & hunting environment and the way that hunting dogs interact with one another,cuts, scratches, bumps, bruises and punctures can occur to my dog, even though the dogs are carefully supervised. I alsounderstand that my dog’s participation in any of these outdoor field and water activities can potentially expose my dogsto such conditions, but not limited to Giardia, Coccidia, Parvovirus or Diarrhea. I also understand that my personalparticipation is not without risks such as tripping, falling, getting knocked down and jumped on, bitten, scratched, etc. Ialso understand that in enrolling my dog(s) into any of Surefire Kennel programs, that Surefire Kennels LLC, Jacob and/orSara Heesacker, has relied upon my representation that my dog(s) are in good health and have received the necessaryvaccinations as agreed upon by my veterinarian. I have read the above statement regarding the Inherent Risks of Dog Training. I hereby release and agree Surefire Kennels LLC, Jacob and/or Sara Heesacker, from any and all liability associated with any dog training program I may engage in.
Signature *

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Once your registration has been verified and approved, an invoice for payment will be emailed to you. Class fee is $500 for the 8 week program (birds, ammo and other supplies will be provided in the cost of the class).
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