Class Enrollment Form

Circus Dog Class Enrollment

Please complete the information below.
Your Name*

First NameLast Name
Your E-mail*
example@example.com
Phone Number*
Your Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Dogs Name*
Age
Breed
Gender
Where did you hear about us?
How is your dog around other dogs?
How is your dog around other people?
What class(s) have you taken with your dog?
Is your dog current on vaccinations according to your veterinarian's recommendations?*

YesNo
By signing up for training classes, events, workshops or any other activities, you agree to the following liability release:
I am aware of the risks from handling animals: property damage or injury to myself, to my animal(s) or to members of my family or friends. In consideration of being permitted to enroll in the class/event/workshop, I do assume full responsibility for any actions of the dog I am enrolling and agree to hold harmless and indemnify any person associated with Canine Training Adventures, LLC. I also understand that participating in training classes is not without risk to me or my dog. I hereby agree to hold harmless all instructors and agents of Canine Training Adventures, LLC from any and all claim of injury or damage which I or my dog may suffer while participating.
Signature*

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Check the box below*

Circus Dog Class, Tuesday, Aug 5th, 6:15 to 7pm6 weeks class

$180.00

Total

$0.00

Circus Dog Class Enrollment