Class Registration Form

Please note:

Submission of this form does not guarantee a space in the class of your choice. We will review the application and verify acceptance. If you do not receive a reply within two business days, please contact our office or check your spam folder.

Owner's Name*

Email*

Home Phone*

Business Phone

Cell Phone

Street Address*

City*

Postal Code*

Handler's Name*

Handler's Age (if under 16)

Guardian's Name (for handler under the age of 16)

Dog's Call Name*

Breed*

Dog's Birth Date*

Sex of Dog*

Spayed
Yes

Neutered
Yes

Please outline any behavior issues you have noticed (ie dog or people aggression)

Class Date and Time*

Level*

How did you hear about us ?

Preferred Method of Payment*
email money transfercheque mailedcheque dropped off

By checking this box, you agree to the following conditions

The owner represents that he/she is the legal owner of said animal. I certify that I am the actual owner of this dog, OR that I am the duly authorized agent of the actual owner whose name I have entered above. I (we) agree to abide by the rules and regulations as set out by the trainers. I (we) agree to release any and all claims or causes of action which I (we) may in future have against Tri-Mark Canine services, its trainers, sponsors, assistants, volunteers, employees and any or all persons, corporations or organizations which own, lease, occupy, or permit Tri-Mark Canine Services to use any lands or premises for any purpose. I (we) agree to hold the aforementioned parties harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while upon the grounds or near any entrances thereto, and I (we) personally assume all responsibility and liability for any such claim. I (we) will assume financial responsibility for any damage caused by this dog to property or any other person during class time and while arriving and leaving premises.

A copy of a veterinarian's certificate for annual vaccination against Rabies, Distemper / Hepatitis, Parvo Virus and Bordatella (please verify this requirement with your veterinarian) must be enclosed or presented prior to commencement of the first class. All dogs must wear properly fitting training equipment, approved by the instructors. All dogs must be on lead (unless otherwise instructed) and under control at all times. It must also be understood that if in the opinion of the trainers, a person is unable to handle a dog, or if a dog or person presents a problem or hazard to the rest of the class, the handler must be replaced or the dog withdrawn from the class. THE DECISION OF THE TRAINER IS FINAL.

FEES ARE NOT REFUNDABLE AFTER THE FIRST CLASS.

The email you provided us can be used to contact you re upcoming classes that you may be interested in or to forward notes that you may require. You may unsubscribe at any time.

 

Tri-Mark_Application  (Download a PDF version of the form)