Group Class Registration Form Required form to register for dog training classes. Date Date Format: MM slash DD slash YYYY How did you hear about us?Owner's Name* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dog's Name*Breed(s) or description*Dog's Age*Dog's gender*MaleFemaleIs your dog Spayed/Neutered?*YesNoVeterinarian*Veterinarian's Phone*Expiration of rabies vaccination Date Format: MM slash DD slash YYYY DHPP vaccination Date Format: MM slash DD slash YYYY Bordetella vaccination Date Format: MM slash DD slash YYYY Puppy Preschool Social (1 Session) Price: $25.00 Quantity: Puppy Preschool Social (5 Sessions) Price: $100.00 Quantity: Great Outdoors Price: $210.00 Quantity: Basic Manners Price: $210.00 Quantity: Advanced Manners Price: $210.00 Quantity: Total $0.00 Terms & conditions* I agree I am the legal guardian of the dog and hereby waive and release The Enlightened Dog and all employees of The Enlightened Dog from any and all liabilities of any nature. I agree to take complete responsibility for the actions of my dog and myself before, during, and after class. At no time will the instructor of this class be liable or responsible for the actions of me, my dog, or any other person who accompanies me to class. Furthermore, I understand that I am being trained to train my dog, and that my success or failure in this class is based on my own willingness to work with my dog on a daily basis.PhoneThis field is for validation purposes and should be left unchanged.
