Please print this sheet. Fill out the information and bring it with you to your first night of class.
 
Registration Form

Class:____________________________________________________________

Name:____________________________________________________________

Address:__________________________________________________________

City:_____________________________ State:________ Zip:_______________

Telephone Number: (______)_________-________________

Call Name of Dog:________________________________________________

Breed of Dog:____________________________________________________

I, the undersigned, do certify that I will hold harmless Excel Dog Training, Inc. and all persons connected there within, in any capacity whatsoever, from and all liability, cost and expense for any injury or damage to persons or property caused by any dog brought by me to training classes now, or in the future, or to any other events held or sponsored by the corporation.  

Today's Date: _______________ Signed:__________________________

Date of Rabies: ______________ Signed:__________________________

(Parent/Gardian if under 18 years of age)
Membership in training will be granted on a first come, first serve basis. There are no refunds given.
The corporation reserves all final decisions on all applications.
Make all checks payable to: Excel Dog Training, Inc. * No Credit Cards Accepted.*

................................................................................
(Office Use Only)

*Pre-Registered: ________________    Check Number:__________    Cash: _________________

*Leash Number:_________________   Cost:  $________________     Tax:___________________

*Collar Number:_________________   Cost:  $________________     Tax:___________________

*Other:________________________   Cost:  $________________     Tax:___________________

Total $ Paid: ____________________