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11:00am Thursday Intro to Scent (Level 1)

Name^*

Name

Address

Phone Number^*

Phone Number

Email^*

Enter email again^*

Name of Dog^*

Name of Dog

Breed of Dog^*

Breed of Dog

Age of Dog^*

Age of Dog

Sex of Dog^*

Male
Female

Sex of Dog

Notes For Instructor (Optional)

If there is any information you want the instructor to know ahead of time, please feel free to type here - some examples would be if your dog has bitten somebody in the past, if they are reactive with other dogs, if they are overly shy/reserved or if you or your dog require special accommodations.

Previous Classes

List classes previously taken

Bite History

Yes or No. If yes, please explain.

Terms and Conditions^*

I hereby acknowledge and agree that any injury or damage inflicted by any dog owned or trained by me at any Winnegamie Dog Club, Inc. training class is my responsibility and shall not be the responsibility of the dog club or result in any liability to the club, its instructors or assistant instructors. I further acknowledge and agree that no other club member, instructor, or any other person of the Winnegamie Dog Club, Inc. shall be responsible or liable for injury or damage to any person, or for the loss of or injury to my property. I fully understand that the Winnegamie Dog Club and its members and instructors accept and assume no responsibility for the action of the animals being trained by them, which may result in liability. I agree to observe and be bound by the obedience training rules aforementioned by the Winnegamie Dog Club, Inc. and hereby acknowledge and accept receipt of the Training Regulations.

I agree

IMPORTANT INFORMATION – PLEASE READ AND SIGN BELOW

Please upload your current vaccination records (DHLPP & Rabies required for all dogs over 4 months. Puppies should be up to date with DHLPP) to https://winnegamiedogclub.com/vaccinations/

Cost: $90 for 6 weeks. Please pay for this class using this link https://winnegamiedogclub.com/quickpay/

You will receive a class confirmation email within 3 days of filling this form out. The payment & vaccination links will be in that email - Both are due the Wednesday before classes start to guarantee your spot in class.

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11:00am Thursday Intro to Scent (Level 1)

Winnegamie Dog Club

Membership

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