Class Act - Class Registration

Please fill out the application below and click the SUMBIT button at the end.

PLEASE READ BELOW:

Classes MUST be paid for within 3 days us receiving your on-line registration.

If you decide not to use our pay on-line service, please mail your check in within 3 days to guarantee a spot will be held for you and your dog.
THANK YOU!

*** WE ARE CURRENTLY NOT OFFERING ANY CLASSES ***

APPLICATION

Check the appropriate box for the class you wish to register for:

Puppy Preschool * Aug. 18th Class is FILLED *

Advanced Basic I Session I (for puppy graduates only)

Basic I Session I

Basic I Session II

Rally Obedience

Date of class you are registering for:

Your Name:

Occupation:

Address:

City:

State:

Zip:

Home#:

Work#:

Email:

Dog's Name:

Breed:

Age:

Sex:

Spayed/Neutered Intact

Veterinarian:

VACCINATION DATES

Distemper/Parvo
(DA2PP or similar):

Rabies:

Other Health Info:

Any additional information about you and your dog to help us meet your needs (do you need a specific night, does your dog feel uncomfortable around unfamiliar people or dogs, etc):

How did you hear about our training school? We like to thank those who send referrals our way.

Each owner is solely responsible for her/himself and her/his dog and will not hold CLASS ACT FOR DOGS, Dee ZurBurg, its agents, or anyone other than the dog's owner(s) responsible for any incidents that may occur while at class or on the grounds.

I have read all of the above information and agree to comply
with all of the rules and regulations therein.