TRACKING REGISTRATION AND RELEASE

 

 EACH CLASS LASTS APPROXIMATELY ONE – TWO HOURS, RUNS FOR 8 WEEKS, AND COSTS $70.00.

 

In joining the Dayton Dog Training Club (DDTC) tracking classes as a student, I hereby assume all risks and responsibilities for the accidents and damage to my property, others, or myself that result from the actions of my dog.  No member or instructor of the Dayton Dog Training Club Inc. shall be held liable for injury and/or damage to my person or property, whether due to uncontrolled dogs or negligence of any member or instructor of the Dayton Dog Training Club.

 

If in any way I am dissatisfied with the tracking instructions, as set forth on the first day of training, I have the option to request reimbursement of the fees paid.  However, thereafter the DDTC, having reserved space for both the trainee and dog, is not liable for returning any fee.

 

I understand that all dogs registered in DDTC classes must have current distemper, hepatitis, and parvo vaccinations and that all dogs over 6 months of age or older must have current rabies vaccination.  DDTC also recommends, but does not require, current vaccinations against kennel cough (Bordetella).

 

My dogs shot records have been turned in for a previous class taken in the past 12 months.

 

Yes __________    You do NOT need to include a copy of your dog’s vaccination record

.

NO ____  You need to include a copy of your dog’s shot record with this application

.

I attest that I have read the information above and agree to all terms of this application.  I attest that my dog’s vaccination information is correct.

 

DATE:  _____________               SIGNED: _______________________________________________

 

PLEASE PRINT LEGIBLY OR TYPE THE FOLLOWING INFORMATION.  THE INFORMATION SHOULD BE FOR THE PERSON HANDLING THE DOG.

 

Name:_______________________________________             Member(circle:)         Yes      No

Address:_____________________________________  City:____________________  Zip:________________

Phone Number:________________________________ email:______________________________________

Dog’s Name:______________________________        Breed:_______________________________________

Dog’s Age:______   Dog’s Sex (Circle)  Male  Female   Is the dog spayed or neutered   Yes___  No___

I am registering this dog for the following class(es):

Class:__________________________________  Day______________     Time______________

Class:__________________________________ Day:______________    Time:______________

Method of Payment (circle):  Cash    Teaching certificate    Check(number)___________

                                                                                                         Amount:_________________

If registering by mail, payment should be by check or money order made out to Dayton Dog Training Club. We do not accept credit cards.  Do not send cash by mail.

 

Mail with payment to: Richard Eppley

                                  1195 Green Timber Trail

                                  Centerville, OH  45458

 

Copyright 2016 |  Dayton Dog Training Club, Inc.

registrar@daytondogtraining.com        937-293-5219