Dog Application

You must submit your dog's/puppies shot record. Contact me, either by email or phone (828-640-3546). I  will provide more information about the next current session of classes.

 

I am signing up for (indicate class start date & time)

Owner Information

Name

Address

Email Address

Phone Number

 

Number of spectators in addition to the person handling the dog in class?

Dog Information

Name________________________Breed________________________

Sex (M) (F) Age 

Have you had this dog from a puppy ? Yes.....................No (if no, what age?)

Did you rescue this dog?

Has your dog ever shown aggression to other dogs? Yes ...................... No

If yes, please explain briefly

 

 

Has your dog ever shown aggression to people ? Yes ............................No

If yes, please explain briefly

 

 

Is your dog afraid of strangers ? Yes ................................ No

I, ....................................................................................., release Amber Smith  (instructor) from any and all personal injury to myself, my dog, children in my care, or harm to property caused directly or indirectly by these classes. I assume sole responsibility for injury or damage caused by myself, children in my care, or by the dog I own or handle in these classes.

 

I have read this carefully and fully understand that this is a release of liability.

 

Signature____________________

 

Print Name_______________________ Date:______________

 

Please email me the Aplication.