Class Registration Form

 

Please fill out this form and fax it to: 1-708-844-9323

ALL CLASSES HELD AT: FINNISH HALL, 1970 CHESTNUT ST., BERKELEY. Entrance stairs and door to right of main entrance front of building.

 

 

Name of Class:________________________________________________________

 

Your Name(s)____________________________________________________________

 

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

PLEASE PRINT AND BRING TO CLASS ALONG WITH A COPY OF YOUR DOG'S RABIES AND DISTEMPER AND PARVO VACINNATIONS. THANK YOU!

 

  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 owners of Finnish Kaleva Hall, harmless from, and against, any loss and liability. Dog owner understand that there will be no refund after the first day of class.

2.  Dog owner is legally responsible for dog having up-to-date rabies and distemper vaccinations.

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 copy of rabies & DHLPP shot records to registration form and bring to first class. Thanks.