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Enrollment Form
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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Referred By:
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Dog's Name
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Age
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Breed
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Age You Acquired Dog
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Sex
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Male
Female
Spayed or Neutered?
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Yes
No
Is Your Dog Sociable With Dogs?
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Yes
No
Is Your Dog Sociable With People?
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Yes
No
Do You Have Any Comments Or Specific Concerns?
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Veterinarian's Name/Clinic?
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Vaccine Dates
DHLPPCVK (Distemper)
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Rabies (Enter Date or Not Yet)
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Rabies
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1 Year
3 Year
Not Yet
Bordetella (Kennel Cough)
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Intestinal Parasite Screening
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Flea Control
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Proof that
ALL
vaccines are current will be required on/before the first day of class. The only exception is Puppies might not get a Rabies vaccine until they are 5-6 months old. Upload below or bring to class.
Upload Proof Of Vaccines Here. Please send pdf files only. Less than 1MB in size.
*
Max file size: 1MB
pdf files only
Class Name, Day and Date You Wish To Enroll In
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By signing this enrollment form, I/we, hereby agree to abide by the rules and regulations of Club K- 9 Training Center & Cris Doss. I/we agree to assume full responsibility for keeping my dog under control at all times, to faithfully carry out the recommendations of the instructors and to train my dog to the best of my ability. In consideration of the acceptance of this application, I agree to abide by the rules and requirements set forth. I understand that attending class is not without risk to me, my dog and members of my family or guests who may attend. I/we hereby agree to release and hold harmless, Club K-9 Training Center, Cris Doss, Douds Veterinary Hospital, and any and all associates, officers, agents, and employees, from claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the premises or grounds or near any entrance thereto. I/we personally assume all responsibility and liability for any such claim; and I further agree to hold, the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, theft, damage, or injury, be caused or alleged to be caused by the negligence of the Training Center or any of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I hereby assume the sole responsibility for and agree to indemnify and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at anytime resulting therefrom, sustained by any person or persons, including myself, or on account of damage to property, arising out of or in consequence of my participation in the activities of this training center, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or may be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons.
I understand that class fees are non-refundable after the class has started. It is my responsibility to attend all classes.
As owner and handler, I agree to accept any and all responsibility for my own dogs' actions.
Authorization/Signature & Date
Signature
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Signature of second person
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Date
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Date
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Typing your name in the box above is the legal equivalent of a handwritten signature.
When you click Submit, you will be taken to the registration page where you can select and pay for the class you want to sign up for. After you have successfully completed the payment process, you will receive a confirmation email.
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Home
Training Classes
Puppy Kindergarten
Basic Obedience
Intermediate Obedience
Canine Good Citizen, (CGC) Testing
>
Rally Obedience
Specialty Classes
>
Advanced Obedience
Conformation
>
Tricks I
Clicks Tricks and Games
>
Tricks II
Tricks III
Canine Conditioning and Fitness
Agility
Hollywood Dogs
Gallery
Videos
Schedule