Hot Springs National Park Kennel Club

A dog that knows more is more fun to know!!

(please print off, fill out, and send in with payment)

Word users can use this link Applicationforobedienceclass.doc

 

Hot Springs National Park Kennel Club (HSNPKC)

 8 weeks of Obedience Classes

 

Please Print

Name of Owner_________________________________ Phone(work)_______________

 

Street Address___________________________________          (home)_______________

 

City_______________________________State_____________Zip______________

Name of person training dog______________________Age (if under 18)____(must be at least 15)

e-mail – (for reminders only) ______________________________________

Name of Dog______________ __________Veterinarian_______________________________

Breed__________________________             Required  Vaccinations Dates DHL___/___/___            

Age of Dog _________________                                                            Parvovirus___/___/___                                 

Date of Birth__________________                                                        Rabies___/___/___

       If you administer your dog’s vaccinations your must show proof (package labels, receipts etc.)

     We also recommend a kennel cough vaccination (dog cold) due to the number of dogs coming in contact with each other.

State any problems (may use back if needed)___________________________________________________

All classes $75.00 (Check one) – 8 weeks of classes on Tuesday nights

                              Hot Springs National Park Community College- Gym- New Location!!

6pm PUPPY______                              7pm PUPPY______                                                                                                                                                                                               

 

6pm BASIC_______ over 6 months      7pm Basic_______ over 6 months           

Time preference due to availability! Please send back application in a timely manner, Thanks!

                                                                      

                                                Waiver. Assumption of Risk and Agreement to Hold Harmless

I understand that attendance of a dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.  I hereby waive and release the HSNPKC and the National Park Community College, the employees, officers, members and agents from any liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session or other function at the HSNPKC or while on the training grounds or the surrounding areas thereto.  In consideration of and as inducement to the acceptance of my application for training in the obedience training class, I hereby agree to indemnify and hold harmless the HSNPKC and the National Park Community College, their employees, officers, members and agents from any and all claims, or claims by any member of my family or any other persons accompanying me to any training session or function of the HSNPKC or while on the grounds or the surrounding area thereto as a result of any action by my dog, including my own.

 

Signature, Owner or Authorized Agent ________________________________Date____________

For HSNPKC only;  Instr.________Shots________Paid________ck/cash     Class_____________

        %              %           Please keep this bottom part of form for your records!          %                 %               

Make checks payable to Hot Springs National Park Kennel Club and mail with this form to:

  Joan Rosemier

210 Holland Lane

Hot Springs, AR. 71913

 

Application and check must be received by HSNPKC prior to orientation night.

Remember you are not enrolled until check and application is received!

Bring proof of vaccination orientation night.

Class sizes are limited and fill quickly.

Applications received after classes are full will be returned.

 

Orientation for all classes is Sept. 16th, 2008 - 7:00 p.m.  National Park Community College Gym.

                                                   Do not bring dogs orientation night  

 

Looking forward to seeing you!  Remember; a dog that knows more is more fun to know!

 

Please send any website recommendations or issues to Joleen at jdanley77@yahoo.com