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Your Name___________________________________
Address_____________________________________
City __________________________________ Zip ______________
Phone _____________________ Email_____________________________
Dog's Name ____________________ Breed ________________ Age _______
Sex ________ Neutered or Spayed _______________
In consideration of the benefits according to me as a member of this dog training group, I hereby assume all risk and responsibility for accidents and damage, to myself or to my property, or to others resulting from the actions of my dog, and expressly agree that no other member or instructor of said group or the property owners shall be held liable personally or collectively, under any circumstances, from injury and damage, to either, my person or loss or injury to my property, whether due to uncontrolled dogs or negligence of any member or instructor of said group or other cause or causes. I further agree to abide by the rules and regulations set down for this training class and also agree that any minor children brought to the class by myself will be under my supervision at all times.
Signed _________________________________________ Date _________
Return completed form along with your class fee to: Tall Pines Dog Training 13769 Old State Rd., Middlefield, Ohio 44062. Make checks out to: Tall Pines Dog Training
Your Name___________________________________
Address_____________________________________
City __________________________________ Zip ______________
Phone _____________________ Email_____________________________
Dog's Name ____________________ Breed ________________ Age _______
Sex ________ Neutered or Spayed _______________
In consideration of the benefits according to me as a member of this dog training group, I hereby assume all risk and responsibility for accidents and damage, to myself or to my property, or to others resulting from the actions of my dog, and expressly agree that no other member or instructor of said group or the property owners shall be held liable personally or collectively, under any circumstances, from injury and damage, to either, my person or loss or injury to my property, whether due to uncontrolled dogs or negligence of any member or instructor of said group or other cause or causes. I further agree to abide by the rules and regulations set down for this training class and also agree that any minor children brought to the class by myself will be under my supervision at all times.
Signed _________________________________________ Date _________
Return completed form along with your class fee to: Tall Pines Dog Training 13769 Old State Rd., Middlefield, Ohio 44062. Make checks out to: Tall Pines Dog Training
