Pet Headquarters Dog Training

What class (es) are you registering for?

Puppy (Puppies must be younger than 4 months at beginning of class)
Level 1 (for beginnning students..dogs older then 4 months)
Level 2

Your Pets Name

What breed of dog?

Age of your dog.

Is your pet spayed or neutered?

Yes
No

What veterinarian do you use?

What is your veterinarian's number?

I acknowledge and agree that I must show proof of vaccination by a veterinarian before I may attend classes.

I agree
I do not agree

Does your dog have any behavioral issues such as aggression (whether to dogs or people), fear or allergies that I need to be aware of?

Your Name

Contact phone number

Alternate phone number

E-mail address

Street Address

City, State, Zip

Were you referred?

Yes
No

If yes, by whom?

What orientation will you be attending?

Do you have any goals or expectations with training?

I understand that I have 3 months to begin my classes once I have attended orientation, or I will need to attend orientation again with an additional cost of $20.00.

I agree
I disagree

All classes are filled on a first come, first served basis. You will not be considered fully registered until both registration and payment are received.

I agree
I disagree

I understand that classes are non-refundable once I have attended orientation.

I agree
I disagree

Trainer has the right to refuse services if a student (person or animal) is a threat within the classroom, is unhealthy, does not seem suitable for services, or does not sign up for classes in a proper and timely fashion.

I agree
I disagree

Owner is responsible for removal of excrement of their pet inside and outside the premises of Pet HQ.

I agree
I disagree

I agree to hold Trainer and agents of Pet HQ harmless from liability for any loss, damage or injury to persons, animals or property arising from pet.

I agree
I disagree

I understand that the Trainer offers no guarantee due to not being able to monitor if different training methods are used outside of the classroom or how often items are practiced.

I agree
I disagree

Please type in your name.

Date

Pet Headquarters Dog Training

Training with fun, not force.

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