Owner's Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

This is the address where your private sessions would take place.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Truthfulness

I acknowledge that the above information is correct to the best of my ability and am not misrepresenting my dog. I take responsibility for any additional training that may be needed if my dog is not ready for a group class as deemed necessary.

Yes, Agreed

Start Date - of the class you are registering for *

GROUP CLASSES: LOOK AT THE CALENDAR and use the start date of the class you wish to enroll for. CLASSES MARKED FULL ARE UNAVAILABLE. Private training is scheduled via email after enrollment form is received. Once this form is filled out you will receive a response with upcoming availability - please use the current date as your start date on this form.

MM

DD

YYYY

Time

What time does the class start? In some instances we may have multiple classes starting on the same day (i.e. agility For Private Lesson availability, please leave blank.

Hour

Minute

Second

AM PM

Vaccination Records *

I agree to bring my vaccination records (or titer results) to the first class. OM Obedience requires that Rabies, Distemper, Bordetella, and be up to date. Most veterinarians will administer the combination vaccine DA2PP/DHPP as a core vaccination. It covers Distemper, Adenovirus Type 2 (Hepatitis), Parvo, and Parainfluenza. Puppies are required to be at least 10 weeks of age upon the start date of class and need to have received their second round of vaccinations prior to starting. It is not expected that they be fully vaccinated at the start date of class. I agree to forward over vaccination records prior to our first private session or notify the trainer that they will be presented at the start of the session.

Yes, Agreed

Refunds *

I understand that by registering/paying for this spot in a class, I am reserving a spot in that specific class (which may well have prevented somebody else from getting in as our classes FILL QUICKLY). If I elect not to show up for the class I have registered for, my classes are non-refundable or transferable. Monetary refunds will not be issued. If I have to miss a class because of a prior engagement or illness, I take responsibility to schedule a make-up class. I understand that makeup classes require an additional $30 commitment to secure a spot in and that I will be able to schedule a free Out & About accordingly. I will forfeit the $30 if I "no call/no show" to the makeup class. I acknowledge the fact, AGAIN, that I am in fact registering/paying for a seat in a specific class being held at a specific time and location, and that this registration is not transferable. I will communicate if I have a conflict, and I understand that if I elect not to show up for the class that I registered for, for any reason, my payment is not transferable to another class (or classes). I ACKNOWLEDGE THAT I WILL NOT THREATEN POOR YELP REVIEWS for not abiding by this policy. I understand that asking for a refund is unacceptable and damaging to a small business. In the event that the trainer takes a SICK day, classes will be pushed back a week and private lessons will be rescheduled as soon as possible. Private lessons require a minimum of 48 hours notice to reschedule and are otherwise non-refundable. I acknowledge that group classes require 4 dogs to be enrolled or they will not be able to be held. In the rare event that this happens, I will be moved to another upcoming class.

Yes, Agreed

Waiver of Liability and Informed Consent Release: *

I, the Releasing Party and the undersigned, have enrolled myself and my dog in dog training classes, private consultations, workshops or other related activities (Classes) offered by Om Obedience/(“OO”), The Released Party. By signing hereunder, I certify that I have been informed and understand that there is always some unavoidable risk of injury involved when working with animals, especially animals with behavioral issues. I acknowledge that dogs can be inherently difficult to control and that not all dogs will be under control at all times resulting in the possibility of injury to myself, my dog, my family members, or third parties. Additionally, I have had full opportunity to discuss all concerns I have about the foregoing risks with OO and its authorized representatives. I have also made all inquiries and investigations to my satisfaction related to such risks, including, but not limited to, an examination of the training area (if applicable). I hereby accept and assume, without reservation, all risks associated with my participation in the Classes, including, but not limited to: the risks of any and all injuries to myself, my dog and any of my family members or third parties who may attend; the risks that my dog may cause injury to other persons and/or dogs while training. As lawful consideration for participating in the classes, I, for myself, my heirs, executors, administrators, legal representatives, successors and assigns hereby waive, release, discharge and agree not to sue and to indemnify, defend and hold harmless OO and their members, managers, agents, locations and employees from any and all injuries, losses, claims and damages to any person or persons of any nature whatsoever, including claims arising from the Released Party’s own negligence, and all costs associated therewith, including attorney’s fees, court costs and consultant fees, arising from my participation in the Classes. This Waiver of Liability & Informed Consent Release shall be legally binding on the Releasing Party. Should the Releasing Party assert a claim to the contrary to what has been agreed to in this Waiver of Liability and Informed Consent Release, the claiming party shall be liable for all expenses (including attorney’s fees, court costs and consultant fees) incurred by both the Releasing Party and the Released Party. No waiver or modification of any provision herein shall be valid unless expressly agreed to in writing by both the Released Party and the Releasing Party. Every provision herein is intended to be severable. If any one or more of the provisions herein is found to be unenforceable or invalid, that shall not affect the other terms and provisions hereof, which shall remain binding and enforceable.

Yes, Agreed