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Greenwood Dog Training School

Registration Form

Class Beginning __________          ( ___ Beginner      ____ Level 2)

Name of Owner ____________________________________________
(If owner is under 18 yrs. of age, this form must be completed & signed by a parent or legal guardian.)

Names of any other adults attending training classes ______________________________________
Names of any children attending training classes _________________________________________

Address ________________________________________________________________________

Phone Numbers - Home ________________________   Work ___________________________
                          Mobile _______________________     e-mail __________________________

Dog’s Name __________________________________________________

Breed ________________________  Age ____________  Sex _______

Spayed/Neutered? _________  Age when spayed/neutered _____________

Age obtained? ____________  From where? ________________________

Have you owned a dog before?___________   Breed(s) ____________________________

Have you trained a dog before? __________  Where? ______________________________

What do you want to learn how to teach your dog?
______________________________________________________________________________________
______________________________________________________________________________________

Do you have any specific concerns regarding your dog’s behavior?
______________________________________________________________________________________

Has your dog ever bitten a person or another dog?  If yes to either, please explain in detail.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
 

Does your dog have any physical problems or disabilities, which may affect his/her training?

______________________________________________________________________________________

Name of Veterinarian ______________________    Vet’s telephone # _________________

How did you hear about Greenwood Dog Training School? _____________________________

** Vaccination record must be attached.
** This form and the shot records must be received by us no later than one week prior to the first class!

WAIVER OF LIABILTY; ASSUMPTION OF RISK; INDEMNIFICATION
Dog obedience training classes offered by the Greenwood Dog Training School involve group training of dogs. Dogs attending classes are typically untrained and unfamiliar to other dogs, owners, and school personnel. Risk of injury or other damages resulting from dog bite, dog play, and/or other dog interaction is inherent in this activity.

I hereby agree to make no claim or demand of any kind against the Greenwood Dog Training School, its owners, agents, and employees for any injury or damage sustained by myself, my child, or my dog, arising out of or in conjunction with attendance at dog obedience training classes or other functions at the Greenwood Dog Training School and/or surrounding areas, and I expressly assume the risk of any such injury or damage.

Further, I agree to indemnify and hold harmless the owners of Greenwood Dog Training School from any and all losses, claims, or liabilities which they may sustain or become subject to arising out of or relating in any way to any action of my dog.

** Please include your tuition ($115 for beginners, $140 for Level 2) with this form.  We encourage you to observe a class & carefully read the course descriptions to be sure the course you are signing up for best fits your needs. The tuition fee reserves your spot for the entire course. Withdrawal from the class must be made 48hrs before the course begins in order to get a refund.

________________________________ ________________________________
Signature of Owner(s)                                Date

________________________________ ________________________________
Printed Name of Owner(s)                           Date

________________________________ ________________________________
Signature of other adult(s)                          Date
attending training classes

________________________________ ________________________________
Printed names of other adult(s)                    Date
attending training classes

Make check payable to Greenwood Dog Training School and mail with completed registration form and vaccination record to:

Mailing address: Greenwood Dog Training School, 248 Marlborough Rd, Kennett Square, PA 19348

Fax:  302-998-2309

Phone: 610-347-0197 or 302-998-8770

Training address: Harmony Grange Hall, 3301 Limestone Rd, Wilmington, DE  (Pike Creek Valley)

Mary Woodward  e-mail: mary@greenwooddogs.com        Susan Greenholt   e-mail: susan@greenwooddogs.com

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Page last updated 01/09/08
Site created & maintained by Mary Woodward