|
BEST PAW FORWARD, LLC
Check location and time: (_) Gulf Breeze Rec center Monday July 28th (_) 5:30pm beg (_) 6:30 Beginner (_) Pensacola, Vickrey cntr Wednesday July 30 (_) 5:45pm beg (_) 7:00 Level II
Payment included $100 (non refundable after close of class) check # _____ Close date is when the class has filled, or 1 week before start date
OWNER'S NAME(S):___________________________________________________________ Address:___________________________________ City & Zip: _________________________ Email: ____________________________________ Phone:__(1)___________(2)____________ Veterinarian __________________Dog’s name:_______________________ Dog’s age:_______ Breed:_____________________________ Sex:____________ Spayed/Neutered________ Person handling the dog in class:_______________________________________________ NOTE REGARDING CHILDREN: Children handling the dog must be at least 10 years old unless given special permission by the instructor. All children must be supervised by a parent and the parent needs to be the primary dog handler in class. I welcome participation by the whole family in training the dog; however, children should never run, squeal or approach a dog. Please also instruct children not to talk over the instructor as it can cause a delay of the class.
AGGRESSIVE DOGS NOT ALLOWED (call if you think you may have a problem)
How did you hear about this class? (_)phone book (_)flyer (_)web (_)friend or vet__________ Specify phone book _______________ specify online directory ____________
what do you expect or hope to gain from this class? (use back if needed) ______________________________ ________________________________________________________________________________________
INSTRUCTOR ONLY COMPLETE (please send copies of your shot records with this form) (_) Rabies( over 18 wks – required) (_) DHLPP combo which usually includes: Distemper, Parvovirus, Parainfluenza, & Hepatitis (_) Bordetella/ Kennel Cough (REQUIRED, please check your records, not all vets give this vaccination and it may need to be requested) ---------------------------------------------------------------------- PLEASE READ AND SIGN RELEASE OF LIABILITY I (we) hereby release and indemnify Best Paw Forward, LLC., its personnel and the owners and operators of any facility at which Best Paw Forward conducts training classes, from and against claims, demands, losses, costs, expenses, liabilities, damages, recoveries, and reasonable attorney's fees, which directly or indirectly arise or result from the actions or inactions of me or my pet(s) at or during a training situation or on training grounds, including injury or death to any person or pet and property damage. Payments included with registration are non refundable except at the discretion of Best Paw Forward, LLC.
Name: __________________________________________________ Date: ______________________________
Mail form, payment and copy of vaccinations to: 1310 E. Strong St. Pensacola, FL 32501 Phone (850) 572-0653 Email bestpawforward@cox.net Website www.bestpawforward.info Due to the popularity of the classes, I can’t allow sign up on first night – pre-registration required |