Canine Academy

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Client Contract

Owner Information

Your Name*

Address*

City*

State*

Zip Code*

Phone Number*

Email Address*

May we contact you with Class Updates and Special Promotions?
YesNo

Dog Information

Dog Name*

Breed

Age (years)

Sex

How did you hear about us? (A friend? Our Website? Search Engine? Other?)

Class Information

Type of Class (Agility, Obedience, Puppy Socialization, CGC, Rally, Consultation, etc.)

Start Date

Release Statement

I hereby release the CANINE ACADEMY, its owners, agents, and employees from any and all liability for injuries and damages sustained by myself or my dog while I am on the premises occupied by said school for the purpose of attending, instructing (with or without compensation) and/or observing classes, or for any other purpose whatsoever. I further agree to save, indemnify and hold harmless the said CANINE ACADEMY, its owners, agents and employees from any and all causes of action and damages caused or contributed to by myself, my dog or any person or animal in my company. NO REFUNDS WILL BE MADE. Credit can be issued for any canceled course, provided that notification was given 24 hours beforehand and if a credit slip has been issued. Credit will be valid for any training program. Credit must be used within one year of issue date. I have read and agree to all of the above. (if under 18, parent must sign)

Owner Signature*

By entering your full name in this field, you are submitting an electronic signature, and agree to the terms and conditions set forth above by the Canine Academy.

Canine Academy © 2016 - 377 W Lincoln Highway | Penndel, PA 19047 | 215-757-8193 | FAX 215-757-4526