Registration Form

Type of Class __________________________ Beginning Date __________ Time_________

Rabies shot date_____________ Attach proof of vaccination from your vet to this form.
Please note: Early Bird Discounts are available for those who pay for two classes. Ask for details.

Owner's
Name(s) ______________________________________________________

Address ______________________________________________________

City________________State____ Zip________ Email__________________

Phone Numbers: Home_______________ Cell____________________

Dog's Name_________________ Breed_________________ Sex____

Is your dog spayed or neutered?_____ How old is your dog? __________

If you are registering for a puppy class, please tell us your puppy's exact date of birth_____________

How old was your dog when you got him/her? __________

Where did you get your dog? ________________________________________

Have you ever trained a dog before?__________

Have you attended any other classes at Tip Top Dog Training? ________

What do you feed your dog? _________________________________________

Do either you or your dog have any physical handicaps or disabilities which may affect training? __________

If yes, please explain: ____________________________________________

_____________________________________________________________

_____________________________________________________________

List three goals you would like to accomplish while in class

1. ____________________________________________________________

2. ____________________________________________________________

3. ____________________________________________________________

What do you like best about your dog? _________________________________

_______________________________________________________________

What does your dog already know? ____________________________________

_______________________________________________________________

How did you hear about our classes? ___________________________________

Please read and sign the release below:
*Waiver, Assumption of Risk and Agreement to Hold Harmless*I understand that attendance at a dog obedience 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 may be difficult to control and maybe the cause of injury even when handled with the greatest of care. In consideration of, and as an inducement to, the acceptance of my registration for classes, I agree to indemnify and hold harmless, and hereby waive and release the school, its employees, owners or agents from any and all liability of any nature, for injury or damage or injury while attending any training session or other function of the school, or while on the school grounds or in the building. I also understand that the degree to which a dog is successfully trained is a function of the interst, commitment and cooperation of the owner. I acknowledge and agree that there is no guarantee that my dog will achieve the desired level of training, despite the best efforts of the instructor.

Signature__________________________________________ Date ______________

Signature__________________________________________ Date ______________
Please have all members of your family who will be attending class sign.

Make checks payable to: Tip Top Dog Training

Note: Class fees are not refundable after the start of class.

Thanks - and Happy Training!