Private Lesson Questionnaire
    Vaccine Dates
    Proof that ALL vaccines are current will be required at/before the lesson. Bring Vet record to the lesson.   
    ​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. 
    As owner and handler, I agree to accept any and all responsibility for my own dogs' actions.
    ​Authorization/Signature & Date 
    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 private lesson you want to sign up for. After you have succesfully completed the payment process, you will receive a confirmation email. 

    Do not click "Submit" more than once. If you aren't taken to the next page please scroll up and correct the entries highlighted in red.
Do not click "Submit" more than once. If you aren't taken to the next page please scroll up and correct the entries highlighted in red.

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