Dog Training - "The Positive Way"
 
Port Perry Odd Fellows Hall.
14460 Simcoe St. 
Port Perry ON L9L 1G3
905-441-1776
 
 
 
 
 
 
Registration Form
First Name
Surname
Email
Telephone
How would you prefer to be contacted?
Telephone
E-mail
Address
City
Postal Code
Choose a class
Please choose your prefered start date.
Comments
Dog's Name
Breed
Dog's Date of Birth
Is your dog up to date with vaccines?
Yes
No
Is your dog friendly with other dogs?
Yes
No
Unsure, to be discussed with instructor.
How did you hear about 4 on The Floor?
AGREEMENT TO HOLD HARMLESS WAIVER AND ASSUMPTION OF RISK
I realize and hereby acknowledge that 4 On the Floor Dog Training their agents and employees can accept no responsibility whatsoever for the conduct or actions of other persons or their dogs, who may be participating in the dog training classes, or other factors beyond their control. Accordingly as a condition of the participation of myself and my dog and any other person with whom I am associated with in the dog training classes.
Accept
Decline
I hereby release 4 On the Floor Dog Training their agents and employees from all claims whatsoever, for any loss or damage which I or my dog may suffer, unless caused solely and exclusively by the gross negligence of 4 On the Floor Dog Training its agents or employees.
Accept
Decline
In addition I accept full responsibility for the conduct of my dog at all times and hereby agree to release 4 On the Floor Dog Training its agents and employees for any and all claims, damages or injuries which they suffer or incur, whether directly or indirectly, including liability for damages suffered by others as a result of the conduct or actions of myself or my dog.
Accept
Decline
 
 
905-441-1776
Payment Method: Cash or Cheque
 
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