Training Class Enrollment Form

(Complete and mail to: Positive Way Dog Training    P.O. Box 245 , Belleville, MI 48112)  

Make Checks Payable To: Positive Way

Owners Name:_________________________________________________

Address:_________________________________City______________Zipcode_______

 Evening Phone Number:_____________________E-mail:_________________________

Dogs Name:__________________ Breed_____________________ Age___________

 Sex: ________ Neutered:   Yes/ No

Class Selection (include date):  Puppy Headstart (please call or e-mail to enroll)

Polite Puppy ________Basic Manners_______ Basic 2________Advanced/CGC _______      

Rally Obedience_______  Street Smarts________ Clicks for Tricks________

Puppy Agility______ Agility 1_______Agility 2_______   Advanced Agility_______

AKC's CGC test_______ TDI (Therapy Dogs International) test ________ Other___________

How did you hear about our classes?__________________________________________

I understand and agree that attendance at dog obedience training class is not without risk to myself, members of my family, guests or my dog, because some dogs to which we may be exposed may be difficult to control and may be the cause of injury, even when handled with the greatest care.

I hereby waive any and all rights of claim for damages arising from injuries received while involved with training sessions or activities at Regency Kennels and release Regency Kennels, All Dogs Training Services & Positive Way, it’s employees, officers, members, trainers and agents from any liability of any nature, for injury or loss which I, my family, guests or dog may suffer.

Signature_________________________________________ Date:_______________

Class sizes are limited and are filled on a first paid basis. To reserve a spot in class, please fill out registration and return with payment at least 5 days prior to the start date of class. You will receive confirmation via e-mail or telephone. Please bring proof of vaccinations including Bordetella to first night of class or send a copy along with this registration form. First night of Polite Puppy and Basic Manners class is orientation for owners only- NO DOGS.

NO REFUNDS AFTER THE FIRST NIGHT OF CLASS.

For office use only: Amount Paid________ Payment Method__________