Dog's Owner(s) Name _______________________________________________________

Dog's Name_______________________________________________________________

Address______________________________________________________________________

City / State /Zip:_________________________________________________________________

Phone: Day________________Evening_________________Email____________________

Occupation(s) _________________________________________________________________

Children: how many & ages_________________________Will any be attending w/you?_______

Do you, or anyone attending with you, have any special needs we should be aware of? Please be specific________________________________________________________________________

______________________________________________________________________________

Breed of Dog__________________________  Dog's Age_______   Dog's Birthday_____________

Sex (please check one): Neutered Male___  Spayed Female___  Intact Male___  Intact Female___

How old was (s)he when you got him?_________ Name & Location of Breeder/shelter/store/etc:
______________________________________________________________________________

Veterinary Hospital/Clinic__________________  Name of Vet you see most often_______________

Problems you would like to work on with your dog: ___________________________________
_______________________________________________________________________________

_______________________________________________________________________________

Is this your first dog?_____Have you trained before?___When/where?______________________

Vaccine Information: Shots required to participate in any class or workshop include Distemper, Parvo, Rabies, and Canine Cough.
Puppies must have started their vaccinations according to your veterinarian's recommendation. It is fine to start Puppy Kindergarten etc so long as you bring in their shot record as it's updated. Adult Dogs should be current on all shots.
A photocopy, which we keep on file, of proof of vaccinations must be supplied with your registration to be accepted...by the first night of class at the latest. The receipt from your veterinarian may serve to indicate what shots you dog is current on, others practices provide a letter or form such as is used for kenneling.

Date of Last inoculation: Distemper/Parvovirus_______ Canine Cough________ Rabies_______
Name of Owner(s) as you'd like to appear on diploma_________________________________
How did you hear of Hastings K9? Please check all that apply :

Former or current trainee (Name of dog and/or owner) ____________________________

Vet_____  Breeder_____  Groomer_____  Pet Sitter_____  Pet Shop_____
Phone Book_____  Newspaper_____  WWW_____  CU's Website_____  Other_____
Please specify name(s)*____________________________________________________________
*people, dogs; DVM, business name; specific website URL or newsgroup; white or yellow pages, etc...Thank You!!!

Note:

• No dogs the first night of class for Puppy Kindergarten & Adult Beginners. All others please bring your dog to all classes unless otherwise specified
• Classes are filled as registrations and tuition payments are received. Full tuition is due with this application to reserve a space, but no later than the first night of class. We accept cash or cheques as payment; make cheques payable to Hastings K9. Returned cheques will incur an additional charge of $35.
• Anyone who lives with the dog and is interested in training him/her is encouraged to attend and participate in classes. Children who are not directly training the dog should be supervised by an adult (other than the person training the dog) during instruction and exercises
• Please review directions & note class dates; if you have any questions class us at least 48 hours in advance for assistance.
• You should walk your dog prior to entering our training center. There is a small exercise area on the right, as well as a grassy area. Please be responsible and clean up after your pet, and do not allow them to mark or soil any common areas, doorways, etc.
• For optimum results, we recommend you practice with your dog at least 10 minutes/day
• If you miss a class you can make it up with any other scheduled class within 6 months. We will mail out the homework for that week if you leave us a message requesting it. We can also supply you with the homework for planned absences in advance if you ask. Don't forget that the first night is mandatory for all beginner classes.

Cancellation policy: Full refund if you notify us 48 hours prior to class start date. Class credit thereafter; must be used within 6 months of the start date for the class originally enrolled in. Lack of attendance does not constitute course withdrawal.

As a condition to acceptance of this registration, the following agreement must be signed:

As legal owner of my dog, I hereby waive and release Hastings Pet Services, its owners, employees and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session, function or activity or while on the grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training by Hastings Pet services, I hereby to agree to indemnify and hold harmless Hastings Pet Services and its owners, employees and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session, function or activity of Hastings Pet Services or while on the grounds or the surrounding area there to as a result of any action by any dog, including my own.

Owner____________________________________________________ Date_________________

Please return this completed application with Full Payment and Proof of Vaccinations to:

Hastings K9 Training Academy 356 Coleman St Suite 5, Belleville, On. K8P 3J4

If you have questions, our phone number is (613) 966-2263, or email: tracy@hastingsk9.ca