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Puppy Class Registration
Owner______________________________________________________________________
Address______________________________________________________________________
_______________________________________________E-Mail________________________
Home Phone ____________ Work Phone_______________ Cell Phone______________
How did you hear about us? Yellow Pages Sign
Pet Store Other_______________________
If we were recommended to you please tell us who we can thank__________________________
YOUR DOG’S INFORMATION
Name ___________________ Breed_____________________ Color____________________
Age _______ Sex________ Neutered/Spayed? Yes No Date of Birth_____________
How long have you had your dog? ________Where did you acquire him/her?_______________
Which of the following best describes your relationship with your dog?
Member of the family. Bought as a pet for the kids.
Working/Hunting dog. Outdoor only. Other________________
Current behavior problem (if any)__________________________________________________
AUTHORIZATION
I, being responsible for the above-described dog, understand the risks involved in any dog training class. Furthermore, I understand that I alone am responsible for the actions of my dog and I will not hold Hillview Veterinary Clinic or it’s instructor liable for any injury to my dog or myself
Signature of Owner_____________________________________Date_____________________
**All classes are nonrefundable and any makeup classes may not be possible due to availability of class vacancies.***
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