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Hot Springs National Park Kennel Club | A dog that knows more is more fun to know!! |
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8 weeks of Obedience ClassesPlease PrintName 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 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
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. Do not bring dogs orientation nightLooking forward to seeing you! Remember; a dog that knows more is more fun to know!
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Please send any website recommendations or issues to Joleen at jdanley77@yahoo.com |