Doggie Day School

WECLOME TO HEX DOG TRAINING!

Register for Doggie Day School

DAY SCHOOL REGISTRATION FORM

* Indicates required field

Name *

First

Last

Email *

Phone Number at which you can RECEIVE Text Messages *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dog's Name *

Dog's Breed (if known) *

Dog's Age *

Is your dog spayed/neutered? (Not a requirement) *

Yes No

I have completed my preliminary assessment *

Yes No

Does your dog have any allergies? If yes, please explain. *

Emergency Contact, Name & Phone Number *

Your choice of veterinarian, Name & Phone *

I trust my trainers' choices of training equipment (Required to participate) *

Yes

How did you hear about HEX? *

If there is anything else you would like to tell us about your dog, please do so here *

I understand and acknowledge that by registering and paying for this spot in a HEX Class, I am reserving a seat (which may well have prevented somebody else from getting in). If I elect not to show up for the class I have registered for, for any reason, my class(es) are not refundable or transferable. Monetary refunds will not be issued. *

YES

By registering and by paying for a HEX Dog Training & Behavior Modification dog training class of any variety, I understand and acknowledge that HEX Dog Training, its owners & subsidiaries shall not be liable for any injury or damage to any person, animal or property which results from the training or behavior of my pet. I also agree that any child under the age of 18 years must be accompanied by an adult. I further agree that HEX Dog Training & Behavior Modification, its owners & subsidiaries shall not be held liable for any costs or expenses associated with or incurred as a result of my pet's participation in any program proferred by HEX Dog Training & Behavior Modification. I further agree that I will be responsible for any damages my pet may do to other pets, people or property. HEX Dog Training & Behavior Modification reserves the right to refuse or terminate training services of any pet at any time without refund. By submitting the form below, I confirm that my dog is fully vaccinated, and is free of fleas & other contagious afflictions. I agree that I am solely responsible for any veterinary bills associated with my pet's participation in any HEX Dog Training & Behavior Modification program, up to and including Day School. *

Yes

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