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Register for Dog Training Class

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To register for one of our classes, please fill out and submit to me the following form.  Be sure to enclose full payment and signed release form in the mail.  You are not registered for class until you receive confirmation from me.

Call ahead to check for classes currently being offered and available space.  (603)539-2481

Next available class is held at the Masonic Lodge in Center Ossipee, an indoor facility beginning on Wednesday, January 28, 2004 for a 5 week session, cost is $75.00. Classes may be combined depending on enrollment. Puppy is at 6-7pm, Family Dog is 7:15-8:15pm on Wednesdays.

I am interested in taking:

Puppy One Puppy Two    Agility   Private Lesson

Family Dog One  Family Dog Two

About You:

Name(s):               

Mailing Address:

Phone:         Work Phone:

About Your Dog:

Dog's Name     Breed:

Age:      Altered?:  Yes  No  Not yet, but will be

Current on vaccinations?  Yes  No      Vet Name:

Has your dog ever bitten another person dog child? (check all that apply)

Has your dog ever shown aggression to a person dog over food or bones?

List any concerns you have here:

List your goals for taking class:   

Release Form:

This must be on file in order to participate in any Spellbound Dog Classes!

I understand that attendance of dog obedience and agility events of any kind is not without risk to me, my dog, my property, members of my family and guests who may attend. Some of the other dogs and equipment to which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. There may be incidents that are beyond the control of anyone present, and I assume this risk as my own, solely. I hereby release and agree to hold harmless, Spellbound Dog Training, the Instructor, class assistants, the property owner, and all other attendees, from any fault or liability of any nature, for injury or damage which I (we) or my dog may suffer. It is also understood that the action of ANY dog present may cause injury, harm or damage to me, my dog and members of my family, guests, or property and I assume this risk as my own, solely.

I expressly assume the risks stated above, and the risk of any harm that is inflicted upon me, my dog or any guest of mine whatsoever, while on the training facility, property or surrounding property.

Signature:____________________________________________________Date:______________

                                                       Owner/Handler

Mail form with full payment to:

Dayna Rousseau, 142 Champion Hill Rd, Ctr. Ossipee, NH 03814

Phone: (603)539-2481 Email to: splbnd@localnet.com