Class Registration
Click Here to download the Registration Form in PDF Format.
Mail to: PAT HOFFMAN’S Dog Training School, P.O. Box 7481, Newark, DE 19714-7481
Registration Form: Please print this form and fill in all information. List the name/s of all of the person/s who may work with the dog in class as “Handler/s” so that your name tag can be prepared accordingly.
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Handler/s___________________________________________ |
Dog’s Call Name_____________________ |
What Happened to Your Last Dog____________________________________________________________
Have You Trained a Dog Before____________ When____________ Where___________________________
What Percentage of Time Does Your Dog Spend Inside_________________% Outside________________%
When the Dog is Outside, is He (Circle One): On a Leash Loose Kenneled Fenced In
Is Your Dog Alone Most of the Day_________________ How Many Hours is He Alone____________________
Is Your Dog Crate Trained___________________ Does He Stay in It When Left Alone____________________
If Not, Where Does He Stay (Be Specific)_______________________________________________________
Behaviors That Apply to Your Dog (Circle to Indicate): Housesoils Jumps Runs Away
Won’t Come When Called Sexually Mounts Barks Excessively Steals Food
Chews Destructively: All of the Time or When Left Alone Growls Snaps Bites
Other (Describe)_________________________________________________________________________
How Does Your Dog React to People_________________________ To Other Dogs____________________
What Do You Hope to Accomplish____________________________________________________________
Do You Have Any Hearing or Other Physical Handicap____________________________________________
List the Kind of Dog Food You Use (Give the Exact Brand, Canned or Dry) _____________________________
What Kind of Treats Do You Use_____________________________________________________________
Where Did You Learn About PAT HOFFMAN’S_________________________________________________
E-mail address__________________________________________________________________________
Note Policy: NO REFUNDS-a place has been reserved especially for you!
WAIVER, ASSUMPTION OF RISK AND AGREEMENT TO HOLD HARMLESS
(Note: This form
must accompany the Registration Form for it to be valid.)
I (We) understand that attendance in a dog obedience training
class is not without risk to myself, members of my family, guests
who may attend or to the dog being trained because he may be
difficult to control or because some of the dogs to which I (we)
will be exposed may be difficult to control and injury may be caused
even when handled with the greatest amount of care.
I (We) hereby waive and release PAT
HOFFMAN’S Dog Training School, its principals, its owners and its
assigns, hereby referred to as the “Training Organization,” its
employees, officers, members and agents from any and all liability
of any nature, for injury or damage which I (we) or the dog may
suffer, including specifically, but without limitation, any injury
or damage resulting from the action of the dog being trained or of
any dog, and I (we) expressly assume the risk of such damage or
injury while attending any training session, or any other function,
of the Training Organization, or while on the training grounds or
the surrounding area thereto.
In consideration of and as inducement
to the acceptance of my (our) application for training membership by
the Training Organization, I (we) hereby agree to indemnify and hold
harmless this Training Organization, its employees, officers,
members 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 Training Organization, or while on the
grounds or the surrounding area thereto as a result of any action by
any dog, including the dog being trained.
Date signed _____________________
________________________________
______________________________
(Witness)
(Owner/Authorized Agent*)
________________________________
______________________________
(Witness)
(Owner/Authorized Agent*)
________________________________
_____________________________
(Witness)
(Owner/Authorized Agent*)
*If a minor, a parent or legal
guardian must also sign.
