Level 1 Registration Form

Registration forms must be returned to: Best Friends Obedience, Inc. 324 South Main Street Versailles, KY 40383 (859) 259-0079 maryann_bfo@yahoo.com www.bestfriendsobedience.com

Please print this form, fill it out, sign the bottom, and mail back to above address to hold you a spot in class.

Class Beginning:___________________________ Class Location: ___________________________
Class Fee:   6 weeks - $155.00    (Prior Student $135)     (Repeat Class $50)
Full Name of Owner or Person Training Dog: ___________________________________________
Address: ____________________________________________________________________
City:______________________________________State:_________Zip Code:_______________
Home Phone:_________________________ Business Phone: ___________________________
Email address: _____________________________________________________________
Call Name of Dog:________________________ Breed:______________________________Age:_____________
Sex: _______________ Age Obtained:______________ From Where: ___________________________________
Have you owned a dog before:______________ Breed(s): ____________________________________________
Have you trained a dog before:___________ When: __________________ Where: ____________________________
State briefly what brought you to class.  Please be specific:________________________________________________
__________________________________________________________________________________________
What do you hope to accomplish:________________________________________________________________
___________________________________________________________________________________________
Do you have any hearing or other physical handicaps: __________________________________________________
Does your dog have any physical problems or disabilities which may affect his training:__________________________
If your dog has had any illness or skin disorder in the last 6 months, state the nature of the problem and whether treated by a veterinarian:______________________________________________________________
Name of Veterinarian: ____________________ Date of last Vaccinations:___________________________________
How did you hear about our classes: ________________________________________________________________

I understand that attendance of a dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs 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.
I hereby waive and release Best Friends Obedience, Inc., the employees, owners and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session or other function of the School, or while on the training grounds or the surrounding area thereto.
In consideration of and as inducement to the acceptance of my application for training membership in this obedience training class, I hereby agree to indemnify and hold harmless this School, the employees, owners and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or function of the School or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.
 

Signature of Owner or Authorized Agent _________________________________________________Date ____________