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Enrollment Information

Payment for all classes is due one week prior to the first night of class. Please print the following form to mail in with your check to:

Erin Deal; 239 N. Whitehall Road; Norristown, Pa 19403

Checks should be made payable to: Erin Deal

ALL POSITIVE DOG TRAINING ENROLLMENT FORM

Form fields can be filled in prior to printing.

The class I’m enrolling in is:
Day/Date: Time:
Have you reviewed the class rules? Yes No

Please circle one:
Puppy Kindergarten | Creative Clicker | Private In Home
First Name: Last Name:
Spouse/Other:
Address:
City/Town: State Zip
Home Phone: Work Phone (if okay to call):
E-mail:
Dog’s Call Name: Date of Birth: Current Age:
Breed or Mix:  Sex: M F   Neutered: Yes No Not Yet
Where did you acquire this dog?
Breeder/Shelter/Pet Store/Other (please give name if possible)
How old was the dog when you got it? Years Months Weeks
Is this the first dog you’ve raised as an adult? Yes No
Is your dog friendly with people? Yes No
Has the dog ever bitten a human? Yes No
Is your dog friendly with other dogs? Yes No
Has the dog ever seriously injured another dog? Yes No

What are the three most important things you would like to get from this class?



Vet’s Name:
Date of DHLP/P: Date of Rabies:
How did you learn about All Positive Dog Training?

If you learned through a friend or neighbor, may we have that person’s name?

Note: Space will be reserved only when payment has been received. We accept cash or check.

REFUND POLICY: There will be no refunds once class has begun. Cancellation less than 1 week before the start of class is entitled to a partial refund only if the spot can be filled before classes begin.

AGREEMENT

I understand that attendance of a dog obedience training class, seminar, function or event, is not without risk to myself, to members of my family or to guests who may attend or to my dog(s) since, by way of example and not all inclusive, some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest degree and amount of care.

I agree to hold the instructor(s), seminar presenter(s) and All Positive Dog Training, LLC., harmless for any and all claims for loss or injury which may be alleged to have been and/or have been caused directly or indirectly to any person, dog or thing by my act or the act of my dog(s) while in or near the training area, or near the entrance therein, and I personally assume responsibility and liability for any such claim; I further agree to hold the aforementioned party(ies) harmless for any and all claims for damage or injury to my dog so, whether loss, theft, disappearance, damage, or injury be caused or be alleged to be caused by negligence, actions or inactions of the aforementioned party(ies), or by the negligence, actions or inactions of any other person, dog or thing, or any other cause or causes.

I further understand that once the dog obedience class, sports class, seminar, function or event has begun, I am not entitled to a refund of any kind should I be unable to complete the activity. I also understand that cancellation less than one (1) week before the start of the class will entitle me to only a partial refund unless my spot in the class can be filled before it commences.

I acknowledge that I have had sufficient time to read this Agreement and that I am entering into such voluntarily and with full understanding of the terms contained herein. I further agree that this Agreement is binding for this and all subsequent seminars, events or functions that I attend.

______________________________________      ____________________
Print Name                                                         Dog's Name

______________________________________      ____________________
Signature of Owner or Authorized Agent                Date


 

ALL POSITIVE DOG TRAINING, LLC
239 NORTH WHITEHALL ROAD
NORRISTOWN, PA 19403

610-631-1132

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