Name(s) of Person(s) attending class(es)

Street Address City

Zip

Home Phone Work Phone

Cell Phone Email Address

Yes, I would like to receive email regarding Full Circle News and Events

Dog's Name Dog's Age

Breed or mix of

Veterinarian's Name

Veterinarian's Phone Number

Does your dog have any history of biting or agression? Yes No

Please check which class(es) you want to attend:

Puppy Class     First Puppy Buddy    Second Puppy Buddy *

* If enrolling in the puppy buddy plan please include the name of the second Puppy Buddy here         

Beginning Obedience and Manners

Canine Good Citizen and Therapy Dog Certification class

I have read and understand the payment and refund policies

WAIVER, ASSUMPTION OF RISK, AND AGREEMENT TO HOLD HARMLESS

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 (we)will be exposed may be difficult to control and maybe the cause of injury even when handled with the greatest amount of care.

I hereby waive and release Full Circle Obedience School, its employees, volunteers, owners and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but not 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 or other function of the School, or while on the training grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training membership in this obedience training class, I hereby agree to indemnify and hold harmless this School, its employees, owners and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training or function of the School or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own. I (we) further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the of the of the of any other person, or by any other cause or causes.

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