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PLEASE FILL OUT ONE FORM FOR EACH DOG. An asterisk (*) indicates a required field.

About You:
* NAME: PHONE:
ADDRESS: * EMAIL:
About Your Dog:
* DOG'S NAME : BREED:
SEX: Male Female SPAYED OR
NEUTERED:		 Yes No
DATE OF
BIRTH:		 VET:
FAVORITE
TOY:		 FAVORITE
TREAT:
CURRENT ON VACCINES? Yes No CRATE TRAINED? Yes No
HOW DID YOU HEAR ABOUT OUR TRAINING PROGRAM?
PLEASE DESCRIBE ANY PREVIOUS OBEDIENCE OR AGILITY CLASSES:
ARE THERE ANY PARTICULAR TRAINING ISSUES YOU'D LIKE TO WORK ON?
WHICH CLASS(ES) ARE YOU SIGNING UP FOR?
Monday 10am - Back to Basics Agility Skills $120 for 6 weeks
Tuesday 10am - Agility For Fun - Intro to Agility $120 for 6 weeks
Tuesday 6pm - Intermediate Agility Handling $120 for 6 weeks
Wednesday 10am - K9 Fitness Boot Camp $120 for 6 weeks
Wednesday 7pm - Basic Obedience & Foundation / CGC Test $120 for 6 weeks
Thursday 7pm - Hollywood Dog Stars (Movie Tricks) $250 for 10 weeks
Tuesday 6pm - Intermediate Agility Handling $120 for 6 weeks
Winter Weekend Series for Beginners 10:00 am $150 for 3 x 2-hr classes
Please read the following Release of Liability and check the box below indicate your acceptance of its terms.

Marla Cooper
Release of Liability

  1. Assumption of Risk:
    The undersigned is aware of the inherent risks of injury, death, and property damage to the undersigned, to his or her dog(s) that are involved in the recreational activity of canine agility, including without limitations, risks due to dog bite, the use of agility equipment, or infectious disease. The undersigned is aware of the risks of injury, death, and property damage that may result from, among other causes, the active or passive negligence of Marla Cooper and her assigns.
    The undersigned is voluntarily engaging in dog agility as a recreational activity with the knowledge of the risks of injury, death, and property damage that may result from participation in dog agility.
  2. Release of Liability
    The undersigned releases Marla Cooper and her assigns of all liability to the undersigned, the undersigned’s representatives, guardians, successors, assigns, heirs, and next of kin for all liability, claims, damage, or demands for personal injury, death, or property damage, to the undersigned or the undersigned’s dog(s), arising from or related to this agreement. This release includes, without limitation, any personal injury, death, or property damage caused by the active or passive negligence of Marla Cooper and her assigns. The undersigned bears sole responsibility for any loss.
  3. Knowing and Voluntary ExecutionThe undersigned acknowledges that he or she has carefully read this agreement, understands its contents, and understands that this agreement includes an assumption of risk by Marla Cooper and her assigns of negligence and a release of their liability. The undersigned acknowledges that Marla Cooper and her assigns are materially relying on this waiver in allowing the undersigned to participate in this dog training event.
  4. I also state my dog(s) is/are not aggressive towards people or other dogs and that I understand I alone am responsible for the behavior of my dog(s), that any dog, which is out of control, creates an unnecessary disturbance or engages in unsafe or disruptive behavior, may at the discretion of Marla Cooper and her assigns, be expelled from the event grounds with no refunds.
By checking this box I accept the terms of the Release of Liability.
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