New Registration – The Enlightened Dog

Class Registration

Date

How did you hear about us?

First Name

Last Name

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dog's Name

Breed(s) or Description

Dog's Gender

Is your dog spayed or neutered?

Dog's Birthday (approximate is ok)

Veterinarian

Veterinarian's phone number

Class Registration

Price: $210.00

I 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 myself, 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 and train my dog.