Class Enrollment Form

Holiday Dog - Workshop Enrollment Form

Complete the information below.
Cost - Make payment by going back to the website and pay by PayPal or mail a check to Canine Training Adventures, 27058 Greenville Rd Sweet Home OR 97386

$45.00
Your Name

First Name Last Name
Your E-mail
Phone Number

Area Code Phone Number

Your Address

Dogs Name
Age
Breed
Gender
Who is your veterinarian?
Where did you hear about us?
Is your dog current on vaccinations according to your veterinarian's recommendations?
Yes No
Is your dog spayed or neutered?
Yes No
What do you hope to achieve from the workshop?
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/even/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. All instructors and agents of Canine Training Adventures, LLC will, in their best efforts, make participation in classes, workshops and privates safe and free of injury to all participants and their dogs.
I have read and agree to the above Liability Waiver and that the above information provided is true.
Should be Empty:

Holiday Dog - Workshop Enrollment Form