Progressive Canine
Dog Training and Behavioral Services (508)885-8141

Class Application Form

Class Application Form

If you would like to attend on of our classes simply fill out the form below, we will contact you once your form is received.

Class Start Date:
Owners Name(s):
Street Address:
City/State/Zip:
Home Phone:
Work or Cell Phone:
Dogs' Name:
Breed(s) of Dog:
Male or Female:
Spayed or Neutered?
At what age?
Brand of Food:
Amount Fed/Times per Day:
Any Health Problems:
Any Medications:
Veterinarian:
Date of Last Shots or Titers:
Any Previous Training:
If so, With Whom:
What do you Hope to Accomplish::
What problems do you have with your dog at this time:
How did you hear about our classes?:

Agreement to Hold Harmless, Waiver and Assumption of Risk

I understand that attendance of a dog obedience training class is not without risk to myself, members of my family, or guests who may attend, or my dog, because some of the dogs to which I will be exposed to may be difficult to control and may be the cause of an injury even when handled with the greatest amount of care.


I hereby waive and release Canine Companion/Progressive Canine hereinafter referred to as the “Training Organization” its employees, officers, members, 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 such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto.


In consideration of and as an inducement to the acceptance of my application for the training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members, and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training sessions or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.

 

Electronic Signature of Owner or Authorized Agent (In case of a minor, a parent or legal guardian must sign.)
Please type your name in the box on the right.

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