| Handler's Name ________________________________________________________ |
| Address ______________________________________________________________ |
| City, State & Zip _______________________________________________________ |
| Home/Cell _______________________ E-mail _______________________________ |
| Dog's Name ________________________________________ Age______ Sex _____ |
| Breed _______________________________________ Spayed _____ Neutered _____ |
| (Please note: Female dogs that come into heat during the 7 week session
cannot attend class. Also, dogs who exhibit aggressive behavior may be
required to wear a muzzle.)
I agree to hold this Club, its members, directors, officers, and the owner or lessor of the premises and any employees of the aforementioned parties, harmless from any claim or loss or injury which may be alleged to have been caused directly or indirectly to any person, thing, or dog while on the obedience premises or grounds. I personally assume all responsibility for any such claims. Signature (Owner) __________________________________________ Date __________ Class Info: Classes runs 7 weeks and will be held at Springwood Park Pavilion (cabin towards back of park). First night is "people" orientation, no dogs please. Items needed for class are 6FT leather, nylon, or cotton leash and buckle, snap or martingale collar. Dogs must be current on vaccinations and must have a Bordetella vaccine to be accepted into class. Class Fee is $70.00 make check payable to:
Please mail payment & application with current vaccination records or health certificate to the above address. For any questions please call Club Secretary, Rick Dalessandro (765)993-4993 (Office use) Park Dept form signed ________ Vac Records ________ Paid _______ |