Training Class Registration

Handlers Name:________________________________________________________

Class Title:

Puppy Kindergarten

Rally Obedience

Beginners Agility

 
 

Intermediate Agility

Advance Agility

Basic Good Dog Manners

Advance Good Dog Manners-CGC

Class Date:
 

Class Start Time:

  

Home Phone:

  

Cell Phone:

  

Address:

  

E-Mail:

  

How did you learn about these classes?

  

If you were referred by someone, please tell us who:

  

Dog’s Name:

 

Breed or mix:

  

Male / Female 

Spayed / Neutered 

Birth date:

  

Veterinarian :

  

Vet’s Phone:

  
What do you hope to learn from this class?  

Circle “Y” for yes and “N” for no for most questions. (“you” includes all family members)

1. If you go near or touch your dog’s food or dish when he is eating, will he show teeth, growl, or snap” ?  Y / N

2. If your dog has a bone or toy or inappropriate object in his mouth and you try to take it from him, will he show teeth,

growl or snap?   Y / N

3.  Does your dog guard stolen objects?  Y / N

4. If your dog is on your bed or the furniture and you try to ask him to move or get off, will he show teeth, growl, or snap?  Y/N

5. If you need to clip your dog’s nails or groom him or examine for fleas or ticks, does he growl, show show teeth or snap?  Y/N

6. How often does your dog meet or see other dogs?

  What is his typical reaction? (viciously
lunges, play bows, hides behind you, growls, barks, fearful, shy etc:________________________________________

7. Have you ever been concerned about your dog’s interaction with non-family members?  Y / N

8. How often does your dog meet other people?    

 What is his typical reaction?

(viciously lunges, jumps, licks, growls, snaps, hides behind you, fearful, shy, approaches nicely for petting?):_______________

9. When you arrive home, does your dog urinate in submission?  Y / N  Roll on his back?  Y / N

10. Have you ever taken your dog to another obedience Class?   Y / N

(If your dog shows a negative response to questions 6, 7, & 8, please call Diann Andress at 965-9291.)

I/We agree by the signing of this document that Diann Andress, Lucky Dog Canine Training and all associated persons are released from any liability for any accident or injuries sustained by me/us and my/our dog(s), or any guest I/We may bring to these lessons. I/We further agree that Diann Andress, Luck Dog Canine Training, and all associated persons are not responsible for theft or damage to dogs, people or their property. I/We the undersigned recognize that dog related activities are sometimes dangerous, that dog have teeth and sometimes use them, that accidents involving dogs do occur, that the condition of the land is often hazardous, and the footing is rarely perfect. In light of this knowledge, I/We take full responsibility for all harm that comes to me/ourselves and my/our dog(s), and all of my/our associates. With full knowledge, I/we release Diann Andress, Lucky Dog Canine Training and all associated persons from any and all responsibility for accidents, injuries, damage or theft.  If I/we co-own this dog with another person or person, I/we bind them to this contract with my/our signature, I/we am aware that Diann Andress gives advice on how to train in these classes, but I/we assume the responsibility to do only as much as I/we and my/our dog(s) are capable of. I/we assume responsibility TO and FOR my/our dog(s). If you do not understand this release, do not sign it. By signing this document, you acknowledge that you fully understand its contents. If you are under age 18, a parent or legal guardian must sign this form.

Participant:

  

Date:

  

Legal Guardian (if under 18):

  

Date:

  
To reserve your spot in class call 863-965-9291 for instructions . No refunds after first lesson.