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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 under age 16 must be supervised by a parent. I welcome participation by the whole family in training the dog; however, children should never run, squeal or approach a dog.
AGGRESSIVE DOGS NOT ALLOWED (call if you think you may have a problem)
How did you hear about this class? (_)flyer (_)web (_)phone book (_)friend or vet__________________
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 please check your records, not all vets give this vaccination ---------------------------------------------------------------------- PLEASE READ AND SIGN RELEASE OF LIABILITY I (we) hereby release and indemnify Best Paw Forward, LLC., it’s 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: ______________________________
Make check payable to Best Paw Forward or pay online 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, sign up on the first night might not be available – pre-registration required |
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Amount included______ check # ______ non refundable after close (1 week before start date) Check location and time: (_) Pensacola, Vickrey cntr Aug 18(_) 5:45pm Beg (_) 6:50pm Level II (_) Gulf Breeze Rec cntr Aug 19(_) 6:00pm Beg (_) 7:15 Level II
Prices and discounts - please circle one below: 1 six week class $100 2 class discount package (beg & lev II) $170 3 class premium package (beg, lev II & Rally) $240 |
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OBEDIENCE CLASS REGISTRATION |