Registration

Class Registration Form

* Indicates required field

Please Select Desired Class *

Handler Information

Name *

First

Last

Phone Number *

Cell # *

Address *

Spayed or Neutered *

Yes No

Email *

Dog Information

Name *

Breed *

Birth Date *

Previous Training *

Goals *

Agreement to Hold Harmless I understand that attendance at a dog training workshop, function, or event is not without risk to myself, to anyone accompanying me or to my dog(s). Some dogs may be difficult to control and may be the cause of injury, to persons or other dogs, even when handled with the greatest degree of care and precaution. I hereby waive Roseanna Gullekson, The Dog Training Company and associates from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, by without limitation, any injury or damage resulting from the act of any dog or employee. I expressly assume the risk of such damage or injury while attending any training session, or any other function of this Training Organization, or while on the training grounds or the surrounding area thereto, used. In consideration of and as inducement to the acceptance of my application I hereby agree to indemnify and hold harmless this Training Organization, its employees, members, and agents from any and all claims, or claims by any member of any family or any other person while on the grounds or surrounding area thereto as a result of any action by any dog, including my own. *I attest that all vaccinations or appropriate titer testing is current for this dog. *

Yes

Yes I wish to recieve emails about upcoming classes *

Yes No

How did you find out about us? *

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