Class Registration Form

 

Please fill out this form and mail it with your check and a copy of your dog's current shot records for distemper/parvo (DHLPP) and rabies as well as your check. (Note: Puppies need a minimum of two sets of their distempter/parvo shots.)

 

Sasha Futran

In the Company of Dogs (cats, too)

1743 Delaware St., Suite 1

Berkeley, CA 94703

 

NEW LOCATION! ALL CLASSES HELD AT PET FOOD EXPRESS, 6398 TELEGRAPH AVE., AT ALCATRAZ, IN OAKLAND

 

 

Name of Class(es):________________________________________________________

 

Your Name(s)____________________________________________________________

 

Address_________________________________________________________________

 

City____________________________Zip Code_____________________

 

Home Phone___________________Business__________________Cell___________________

 

Email____________________________________________

 

 

 

Dog's Name _____________________ Age _________Gender __________

 

Neutered/Spayed? ______ Housebroken? ___________

 

Breed or Combo Pack: ____________________________________________

Name of Vet_________________________

 

Aggression Issues? If so, please describe ________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

DOG TRAINING AGREEMENT

 

Pet owner responsibilities and assumption of risk:

 

1.Dog owner takes full responsibility for dog's actions at all times. Dog owner shall be liable for any bodily injury to any human or animal, property damage or other loss or expense, which is the result of the acts of the owner's dog. Dog owner agrees to defend and hold trainer, Sasha Futran and In the Company of Dogs (cats, too) as well as Finnish Hall, harmless from, and against, any loss and liability.

2.Dog owner is legally responsible for doghaving up-to-date rabies and distemper vaccinations. Dog owner understands there will be no refund after the first day of class.

3.It will be appreciated if dog's nails are clipped before the first class. Thanks!

 

I agree to the terms of this agreement and have signed below:

 

Signature:_____________________________________________

 

Print Name: __________________________________________

 

Date: ____________________

 

 

Signature:_____________________________________________

 

Print Name: __________________________________________

 

Date: ____________________

 

Note: To be signed by all adults attending the classes. Thank you.

 

 

Don't Forget: Attach rabies & DHLPP shot records to registration form with check