Registration Form and Liability Waiver Step 1 of 2 50% Important: To reserve a place in class, please enclose payment with registration...Thank You. To register for class, please fill this form out, complete and sign your registration and any required documents from Gone to the Dogs.Course/Services Requested(Required)Choose oneBoard & Train (2 weeks for $3,000; 3 weeks for $4,000; 4 weeks for $5,000)In Home Lessons ($150/session)Private Lessons ($100/session)Group Classes (6 for $275; 10 for $375)Event (prices vary)Start Date Time Dog's Owner(s) Name Dog's Name Street Address City State Zip Code Phone Email Occupation Children in home: how many & ages Will any children be attending with you? Do you, or anyone attending with you, have any special needs we should be aware of? Please be specific. Dog's Breed Dog's Birthday Dog's Sex Neutered Male Spayed Female Intact Male Intact Female Dog's Age How old was your do when you got him/her? Name & Location of Breeder/Shelter/Store/etc. Your Veterinary Hospital/Clinic Name of Veterinarian you see most often Is this your first dog? Have you worked with a professional trainer before? (If yes, please list where) What behaviors would you like to focus on with your dog?Vaccine Information: Shots required to participate in any class or workshop include Distemper, Parvo, Rabies, and Canine Cough. Puppies must have started their vaccinations according to your veterinarian's recommendation. It is fine to start Puppy Kindergarten etc so long as you bring in their shot record as it's updated.Adult Dogs should be current on all shots. A copy, which we keep on file, of proof of vaccinations must be supplied with your registration to be accepted by the first night of class at the latest. The receipt from your veterinarian may serve to indicate what shots you dog is current on, others practices provide a letter or form such as is used for kenneling.Date of Last Distemper/Parvovirus Inoculation: Date of Last Canine Cough Inoculation: Date of Rabies Inoculation: Name of Owner(s) as you'd like to appear on diploma How did you hear about Gone to the Dogs? Please check all that apply: Former or current trainee (Name of dog and/or owner) Veterinarian Breeder Groomer Pet Sitter Pet Shop Phone Book Newspaper Website Google Search Other How did you hear about Gone to the Dogs? Please specify names for example: breeder, vet, google, newsgroup, person/dog nameClasses are filled as registrations and tuition payments are received. Full tuition is due with this application to reserve a space, but no later than the first night of class. We accept cash and checks as payment; make checks payable to Gone to the Dogs. Returned checks will incur an additional charge of $20 per instance.Please review directions & note class dates; if you have any questions call us at least 48 hours in advance for assistance. Anyone who lives with the dog and is interested in training him/her is encouraged to attend and participate in classes. Children who are not directly training the dog should be supervised by an adult (other than the person training the dog) during instruction and exercises.You should walk your dog prior to entering our training center. There is an area by the day care yard for dogs to relieve themselves. Please be responsible and clean up after your pet and do not allow them to mark or soil any common areas, doorways, etc. For optimum results, we recommend you practice with your dog at least 10 minutes/day. For 6-week obedience classes- If you are going to miss a class, you may request the homework up to one week prior and you can make up that class within six months. Cancellation policy: Full refund if you notify us 48 hours prior to class start date. Makeup classes only- for the person or dog originally enrolled- thereafter; this is non-transferable and must be used within 6 months of the start date for the class originally enrolled in. Lack of attendance does not constitute course withdrawal. If a course is cancelled at Gone to the Dogs you will be allowed to enroll in another class or provided a refund. As a condition to acceptance of this registration, the following agreement must be signed:As legal owner of my dog, I hereby waive and release Gone to the Dogs & Lucky Dogs Daycare, its owners, employees and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session, function or activity or while on the grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training by Gone to the Dogs, I hereby to agree to indemnify and hold harmless Gone to the Dogs & Lucky Dogs Daycare and its owners, employees and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session, function or activity of Gone to the Dogs & Lucky Dogs Daycare or while on the grounds or the surrounding area there to as a result of any action by any dog, including my own.Owner Signature (Full Name) Date Please submit Full Payment and Proof of Vaccinations to Theresa@gonetothedogs.com. Check, Venmo, or Cash accepted. Dog's Name Dog's Breed Dog's Age I, the undersigned, have enrolled myself and my dog in dog training classes, private consultations, workshops or other related activities (classes) offered by Gone to the Dogs. By signing hereunder, I certify that I have been informed and understand that there is always some unavoidable risk of injury involved when working with animals, especially animals with behavioral issues. I acknowledge that dogs can be inherently difficult to control and that not all dogs will be under control at all times resulting in the possibility of injury to myself, my dog, my family members, or third parties. Additionally, I have had full opportunity to discuss all concerns I have about the foregoing risks with Gone to the Dogs Training and its authorized representatives. I have also made all inquiries and investigations to my satisfaction related to such risks, including, but not limited to, an examination of the training area (if applicable).I hereby accept and assume, without reservation, all risks associated with my participation in the classes, including, but not limited to: the risks of any and all injuries to myself, my dog, and any of my family members or third parties who may attend, the risks that my dog may cause injury to other persons and/or dogs involved in the classes, and the risks that saliva, water, food, snow and/or other debris may be present in the training area. As lawful consideration for participating in the classes, I, for myself, my heirs, executors, administrators, legal representatives, successors and assigns (the "releasing party"), hereby waive, release, discharge and agree not to sue and to indemnify, defend and hold harmless Gone to the Dogs training with grace from any and all injuries, losses, claims and damages to any person or persons of any nature whatsoever, including claims arising from the released party's own negligence, and all costs associated therewith, including attorney's fees, court costs and consultant fees, arising from my participation in training.This waiver of liability and informed consent release shall be legally binding on the releasing party. Should the releasing party assert a claim to the contrary to what I have agreed to in this waiver of liability and informed consent release , the claiming party shall be liable for all expenses (including attorney's fees, court costs and consultant fees incurred by both the releasing party and the released party. No waiver or modification of any provision heron shall be valid unless expressly agreed to in writing by both the released party and the releasing party.Every provision herein is intended to be severable. If any one or more of the provisions herein is found to be unenforceable or invalid, that shall not affect the other terms and provisions hereof, which shall be binding and enforceable.I represent that I am at least 18 years of age.Owner's Signature (Full Name) Date