CLASS ENROLLMENT FORM
Name:____________________________________________________________________
Address:__________________________________________________________________
City,State,Zip:______________________________________________________________
Telephone #: Home
(______) _______-_____________
Work (______) _______-_____________
Dog's
Name:____________________________________________
Dog's
Breed:_______________________________________
Color:___________________
Dog's Age:___________
Class(es):________________________________________________________________________________
Check
One: Daytime
Session:__________ Evening Session:__________
How did you hear about
Golden
Rule?_________________________________________________________
Number of people
attending orientation:________ Amount enclosed: $________
Send check payable to
Golden Rule School for Dogs, LLC to address above
I attest that my dog has
had the following vaccinations on the dates stated:
(Please attach a xerox
copy of your dog's vet records)
Distemper:
____/____/____ Parvo:
____/____/____ Parainfluenza:
____/____/____ Rabies*:
____/____/____
*Puppies under 6 months
of age are exempt from the rabies requirement
I understand that attendance
at a dog training facility is not without risk to myself, members
of my family or guests who may attend, or my dog. I hereby
waive and release Golden Rule School for Dogs, LLC, its
instructors or agents from all liability of any nature resulting
from the actions of any dog while on or in the training grounds
or surrounding area.
Signature
___________________________________________________________________
The instructor reserves
the right to excuse any dog that persists to be vicious in nature.
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