Class Registration

Name:*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email:*

example@example.com

Phone:*

Area CodePhone Number

How did you hear about Coal Dog's?*

Dog's Name:*

Breed:*

Gender:*

Spayed or Neutered:*

Dogs Age:*

Years / Months

Dogs date of birth:

Date

Veterinarians Name:*

Vaccinations Required: (Please attach a copy of your dog's vacination record)

Rabies: (Not required for pups less than 6 months old)

Date

DHLPP:*

Date

Bordetella:*

Date

Upload proof of vaccinations. *

Browse Files

What class are you registering for:*

PAYMENT AND CANCELLATION POLICY

Classes may be canceled for low enrollment and a full refund will be given. You will be notified if your class has been canceled – be sure to check your email regularly. Classes can only be reserved with payment in full. Payments may be mailed or paid by most major credit cards online. There will be no refund given for any class 14 days prior to the starting date. This class is not transferable to another dog, person, or to private lessons.

WAIVER, ASSUMPTION OF RISK AND AGREEMENT TO HOLD HARMLESS

I understand that attendance in a dog training class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed to may be the cause of injury even when handled with the greatest amount of care.

I hereby waive and release COAL DOGS , it’s employees owners and agents from any and all liability of any nature for injury or damage which I or my dog my suffer, including specifically, but with out limitation , any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session or other function of COAL DOGS, or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training membership in this training class.

I hereby agree to indemnify and hold harmless COAL DOGS ,it employees, owners and agents from any and all claims, or claims by any member of my family or any other person accompanying me to the training session or function of Coal Dogs while on the grounds or the surrounding area thereto as a result of any action by any dog including my own.

Please choose the method of payment you want to use:*

Credit CardPersonal Check

Date:*

Date

Signature:*