Registration Form—Pet Supplies Plus

Class Start Date:                                                                                         

Handler’s Name:                                                                                                             Dog’s Name:                                                                               

Dog’s Breed Type:                                                                                                                           Dog’s Age:                                                  M/F

Handler’s Address:                                                                                                                                                                             Zip                            

Home Phone:                                                                                                 Mobile Phone:                                                                                               

Email:                                                                                                             Work Phone:                                                                                                 

Vet’s Name:                                                                                                                                                      Spayed Neutered?                                     

Does your dog have physical limitations? Y/N? If so please explain:                                                                                                                              

                                                                                                                                                                                                                                             

List other pet family members:                                                                                                                                                                                            

List other human members of the household with ages:                                                                                                                                                  

Dog acquired from: (circle):      Pet Shop                    Breeder                      Shelter                       Other:                                                         

Age of dog when acquired:                                         How long have you had this dog?                                                                                                 

Where does your dog sleep (be specific)?                                                                                                                      Do you use a crate?      Y/N

How many hours is your dog left alone each day?                                        How is your dog confined outdoors?                                                        

What activities do you do with your dog?                                                                                                                                                                           

What tricks/behaviors does your dog already know?                                                                                                                                                       

Have you attending training classes before? Y/N.    When & Where?                                                                                                                             

What do you want to accomplish in this class?                                                                                                                                                                 

                                                                                                                                                                                                                                             

What is your dog’s regular food?                                                                                                   Treats?                                                                        

What time(s) are your dog’s meal(s)?                                                                                                                                                                                

Circle anything that applies to your dog:

Growls                                        Shy                                             Fearful                                        Guards food/toys                                        Pushy

Bites                                           Destructive                                 Won’t listen                                Excessive Energy                                       Dominant

Aggressive                                 Noisy                                          Too attached                              Not good with people                                 Mouthy     

Briefly explain any thing you have circled:                                                                                                                                                                        

                                                                                                                                                                                                                                             

 

Please provide a copy of the dog’s shot record and sign and return the liability form on reverse. You will not be enrolled into the class/clinic until you have. No exceptions will be made.

Sit Happens Dog Training, LLC

Liability Waiver & Release

 

Please read and complete this waiver and return it to your instructor promptly. Be aware that by signing this liability waiver, you are giving up important legal rights. If you wish, you may review this liability waiver with your own legal counsel before signing.

 

I understand that participation in a dog training class is not without risk to me, members of my family, guests who may attend, and my dog(s). Some of the dogs to which I will be exposed may be difficult to control and may be a cause of injury, even when handled with the greatest degree of care.

 

I agree to hold Sit Happens Dog Training, LLC, Pet Supplies Plus, and the instructor(s) of this class harmless for any claims resulting from loss or injury caused directly or indirectly to any person or thing by my actions or the actions of my dog while in or upon the training area or near the entrance thereof. I personally assume all liability for any such claim. I further agree to hold the aforementioned parties harmless for any claim of damage or injury to me or my dog, regardless of cause.

 

I understand that my dog will be exposed to other dogs in the class. As a preventative measure, I have enclosed a copy of my dog’s current shot record (applies to new students only). I understand that no dogs will be allowed entrance to a class without a shot record on file with Sit Happens Dog Training, LLC. No exceptions will be made. I personally assume the responsibility for any and all veterinary care necessary for my dog as a result of our participation.

 

I agree to all of the above, and have enclosed a check to cover the classes for which I wish to enroll. Please make checks payable to Sit Happens Dog Training, LLC.

 

 

                                                                                                                                                           

Signature of Participant                                                                                 Date

 

 

                                                                                          

Print Name

 

 

                                                                                                                                                           

Signature of Parent or Legal Guardian                                                         Date

(if participant is less than 18 years of age)

We Speak Dog!