VICTORIA DOG OBEDIENCE CLUB, INC
www.victoriadopobedienteclub.org
email:metak@direcway.com
APPLICATION FOR TRAINING
Handler Information
Name Age (if under 18)
Address: City:_____________
E-mail address: Telephone:____________________
Contact phone number for rainouts one hour before class:__________________________________
Check class preferred: Mondays: Basic I - 7:30 - 8:30 pm _____
Tuesdays: Puppy Class - 7:30 - 8:15 pm _____
Basic I - 7:30 — 8:30 pm _____
p.... • • • • • • • ...... .5...... . . . . . ... . S. • S• SD 55••••S•• • SflS•• •• •• s • • S5••••S
DOG INFORMATION
Name___________________________________ Age: ___ Sex:( )M ( )F
Call name: Breed:__________________________
Last Vaccination Dates — Rabies:_______________________ DIII.: ______________________
How long have you owned this dog? ___________
Rave you owned a dog before? _____________ What breed?______________________________ Have you trained a dog before? _________ When? ___________ Where?____________________
I...... . . s a. 5• ••• ..s.. • • • • .. . . •• ••••• • • •• . . . • • . . . . . ....... . .. . . .........
AS A CONDITION TO ACCEPTANCE OF THIS APPLICATION TIlE AGREEMENT ATTACHED TO THIS APPLICATION MUST BE SIGNED.
Is.. 555 • S5• SS S SSSS S S SS• S S55•SSS
DO NOT WRiTE IN TillS SPACE! Class__________________
( ) proof of vaccination Instructor___________
( ) collar
( ) lead Application taken by:
Paid $ ______ Date:
( ) Cash
( ) Check#
Remarks:

release
VICTORIA DOG OBEDIENCE CLUB. iNC.
AGREEMENT TO HOLD HARMLESS WAiVER
AND ASSUMPTION OF RISK
I understand that attendance cta dog obedience training class is itt without risk to myself, members of my family a guest who may attei4 a my dog, because e cftlt dogs to which I will be exposed may be difficult to control and may be the cause S ixjuty even when handled with Ut eatest amount of care.
I hereby waiw and release the VICTORIA DOG OBEDIENCE CLUB, INC. heieinaftenefened to as the “Training
Organization’, its volunteets cas, members and agents, finn any and all liability cC any nature, fa iruty a damage which
I a my dog may suffer; including specifically, but without limitation, any injiny a damage resulting finn Ut action of any
dog, and I ei’pressly assume Ut risk ctsuch damage a injury while attending any training session, a any caher ftnctic of Ut
Training Organization, a while on the training grounds a surrounding area thereto.
In ocrisideration of and as inducement to Ut acceptance ctmy application fa training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its volunteers, cers, members and agents finn any aix! all claims by any member S any family a any otherpersn acccnxipanying me to any training session a flation to Ut Training Organization, a while on the ground a the surrounding area thereto as a result of any action by any dog, inchxfing my owa
SIGNATURE OF OWNER OR AGENT DATE
Name of owner of dog if different from name above
Address City State Zip
How did you learn about these classes?
Veterinarian () Newspaper Ad ()
Pet Store( ) Groomer( )
Radio ( ) Trainer ( )
Former Trainer ( ) Other___________________
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