Younghaus Working Dogs - Alpha K-9 Training

DOG TRAINING REGISTRATION FORM


Name                 Phone          

 

Address          

 

City                    State          

Zip          

 

Pet’s Name                    Pet’s Age                      Breed          

 

Sex                    Pet’s Color          

 

Who is your veterinarian?                

         

Flea and Tick Preventative?

 

*If answering “no”  you will need to have your pet treated with a flea and tick preventative at least 72 hours before attending class


TRAINING SERVICES

What class(es) are you registering for? (Please select all that apply)


 

Email Address          

 

Liability Clause:

       I hereby agree to hold Alpha K-9 Training, their owners, directors, trainers, employees and representatives harmless from any and all liability for any loss, damage or injury to any person, animal, or anything that may have arisen out of or in any way connected with participation in training and/or kenneling by Alpha K-9 Training,

       Furthermore, I assume all responsibility for any loss, damage or injury to myself, my animal(s) or my property which may be caused by neglect or any act by any person connected in any way with the above said training or kenneling.

       I herby certify that my animal that I enter in training and/or kenneling will have received flea & Tick prevention and are up to date on shots against canine distemper, leptospirosis, parvovirus and canine viral hepatitis, appropriate for age, by the time of their first training and/or kenneling.

       I hereby give Alpha K-9 Training authority to take my animal to a veterinarian while my animal is being boarded here if they deem necessary to do so and I have made arrangements to be responsible for any and all costs for such veterinary services while my animal is in their training/kenneling care.  My animal is currently treated for fleas and ticks and Alpha K-9 Training is not responsible for infestations.

       This contract also applies to any future training and/or boarding of animals I bring to any facility utilized by Alpha K-9 Training.

OWNER HEREBY ACKNOWLEDGES HAVING READ AND UNDERSTANDS THIS CONTRACT

 

Leave this empty:

Signed by Ted Young
Signed On: September 19, 2016

Younghaus Working Dogs - Alpha K-9 Training http://younghaus.com
Signature Certificate
Document name: DOG TRAINING REGISTRATION FORM
Unique Document ID: 2ab8128f0790b01c23a8cc5428914241508dd3eb
Timestamp Audit
2016-06-23 00:02:06 HSTDOG TRAINING REGISTRATION FORM Uploaded by Ted Young - ted@younghaus.com IP 66.8.138.5