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Richmond Dog Obedience Club

Training Class Registration Form

Registration Date:

Nam

Registration Time:

Nam

Class Information

Name of Class:

First Class Date:

Class Day:

Name of Class:

Name of Class:

Name of Class:

Class Time:

Name of Class:

Instructor:

Name of Class:

Class Cost/Amt Paid:

100/______

Nam

Owner Information

Name:

Name of Class:

Address:

Name of Class:

City/State/Zip:

Name of Class:

Telephone:

Name of Class:

Email:

Name of Class:

Trainer's Name:

xx

xx

Age (if under 18)

Dog Information

Dog's Name:

* Dog's Age:

Breed or Mix:

Gender:

Name of Class:

Nam

Name of Class:

Neutered/Spayed:

Rabies Certificate on File:

Dog acquired from shelter:

Yes

No

Has your dog ever bitten a person?

Does your dog fight with other dogs?

Reported to local authorities? 

For biting:

For fighting:

Yes

No

If the answer to any of the above questions is YES, please explain circumstances

explanation

I the undersigned, I hereby agree that Richmond Dog Obedience Club, Inc. (“RDOC”) shall not be held responsible for any injury that I or my dog might receive while attending functions sponsored by RDOC, including any training classes, demonstrations and similar activities at or sponsored by RDOC; and I hereby waive any and all claims for any such injuries. I also agree to pay for any injury or training classes, demonstrations and similar activities at or sponsored by RDOC; and I hereby agree to indemnify and hold harmless RDOC from any such injury and damage.

 

I further understand and agree that photographs may be taken from time to time during RDOC training classes, demonstrations and similar activities. Photos taken during such times are the property of RDOC and cannot be used to promote any other business other than RDOC business without approval of the Board of Directors. Class participants, members and anyone who joins them at RDOC acknowledge that their likeness may be included in any such photos and each waives his/her right to object to the use of such photos for RDOC business.

 

I understand that there will be NO REFUNDS issued and only limited transfers permitted.

Signature of Dog Owner

Name of Class:

* Dog's Age at the start of class