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Basic Obedience Class – September 2024
1
About You
2
About Your Dog
3
Medical
About You
Please provide information for the legal guardian of the dog. Please only fill out form if you are legally responsible for the dog.
First Name
*
Last Name
*
Address
*
Suite | Unit Number
City
*
State | Province
*
Select State or Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Saskatchewan
Quebec
Yukon
ZIP
*
Phone
*
eMail
*
About Your Dog(s)
Dog's Name
Dog's Gender
*
Female
Male
Is she spayed?
*
Yes
No
Approximately when was she spayed?
*
MM slash DD slash YYYY
Is he neutered?
*
Yes
No
Approximately when was he neutered?
*
MM slash DD slash YYYY
Dog's Breed
*
Dog's Age
Select Age
Under 4 Months
5-6 Months
7-9 Months
10-12 Months
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years+
Is your dog up to date on its Rabies vaccination?
*
Yes
No
Date of vaccination
*
MM slash DD slash YYYY
Is your dog up to date on its Parvo vaccination?
*
Yes
No
Date of vaccination
*
MM slash DD slash YYYY
Is your dog up to date on its Bordetella vaccination?
*
Yes
No
Date of vaccination
*
MM slash DD slash YYYY
Is your dog up to date on its Distemper vaccination?
*
Yes
No
Date of vaccination
*
MM slash DD slash YYYY
Release Of Liability
Discharge of Liability
*
I hereby forever release and discharge Best Paw Forward, Valerie Masi, employees or any person acting on its behalf, from any claims, liability action for damages, compensation or otherwise known, on account of or arising out of dog training classes, socialization classes, personal training classes, and/or your pets' or demo dogs' behavior. You take full responsibility for your pets' behavior during training and thereafter.
I release and discharge all liability from all companies, agencies, officers and persons providing good faith, pertinent information and/or records as requested to successfully complete your pet's training.
I Understand & Agree
Refunds/Guarantees
*
All classes are non-refundable and training is not guaranteed.
I Understand & Agree
Missed Classes
*
Any missed class can be made up the following week before class with the advanced approval of Best Paw Forward Dog Training.
I Understand & Agree
Incomplete Course
*
Any missed course can be made up during any future Basic Obedience Group Course with the advanced approval of Best Paw Forward Dog Training.
I Understand & Agree
Payment
Basic Group Obedience Course
*
Price:
Total
$0.00
Phone
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Contact:
Call Us: (760) 885-9450 Or eMail Us Any Time:
Name
*
eMail
*
Phone #
*
Message
*
Phone
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