Required field
Available Classes:
Phone #
Name of Dog:
Gender: Male   Female
Spayed/Neutered: Yes   No

Age when done:

Age when you got dog:


Have you owned a dog before: Yes   No

If Yes, what Breed?

Have you trained a dog before: Yes   No

If Yes, when?

Briefly state the problems that brought you to us for training. Please be as specific as possible:
What do you hope to accomplish in our class?
Does your dog have any physical problems or disabilities that may affect his/her training?
What kind of food do you feed your dog? Please state exact brand, canned, dry, etc:

If handler is different from the owner listed above, please fill out the following info:
(Please remember that all handlers must be atleast 14 years old)

Handler Name
Handler Address
Handler Zip
Handler Phone #
Vet Name:
Vet Phone #
Emergency Contact:


I am aware that attending a dog training class is not without risk to myself, members of my family, guests that attend, or my dog. I understand that some of the dogs that I will be exposed may be difficult to control at times.

I hereby waive and release FAMILY DOG TRAINING, LLC, hereinafter referred to as "Training Organization", its employees, officers, volunteers, and agents from any and all liability of any nature, for injury or other damage which I or my dog may suffer, including, but not limited to, any injury or damage resulting from the action of another dog. I assume the risk of such damage or injury while attending any training session or any other function of the Training Organization, or while on the training grounds or the surrounding area.

I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, volunteers, and agents from any and all claims by me or any other person accompanying me to any training sessions, functions, or while on the grounds of the Training Organization.

I understand that there are no refunds given after the class start date.
I Agree

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