Registration Form

Date: *Home Phone: *Owner: *

Address: *City: *State: *

 Zipcode: *Email:Cell Phone:

Dog's Name: *Breed: *   

 Sex: * Male Female

Age: *Date of Vaccines: * Vet: *

Describe the problem you are having with your dog:

Basic Obedience 2011

Central Florida Animal Hospital  

Waterford Lakes Animal Hospital  

The Doggie Door

Central Florida Animal Hospital

 Waterford Lakes Animal Hospital  

The Doggie Door

Training Release Agreement

In consideration of and as inducement to the acceptance of my application for training membership in JM Canine Services Obedience Class:  I hereby assume all risk of personal injury to myself, members of my family, guests who may attend, as well as my dog, while I am attending and training with the class.  I hereby waive and release JM Canine Services, Inc., and the animal clinic/location where my class is being held, its employees, owners and agents and all other students and members of this training class from any liability therefore.

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