| THE HOLLOWELL ACADEMY OF DOG TRAINING APPLICATION FOR DOG OBEDIENCE CLASSES |
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| Beginner’s____Canine Good Citizen_____ Top Dog______ Agility for Fun _____ AgilityII____Freestyle Dance___ Rally-O & Advanced____Retrieving____Tracking _____Flyball_____Tricks_____ Sampler Class____ Therapy Dog Prep Class____ Senior Citizens Class____ Young People's Class___ Owner’s Name____________________________Home Phone________________Cell Ph_______________ Address_________________________________________________________________________________ City ________________________________Zip Code_________EMail_______________________________ Dog’sName______________________Age_______Breed_______________Sex___ Spayed/Neutered_____ Veterinarian ______________________________Date of last DHLPP* _________Date of Rabies______ *No dog will be allowed to attend classes without a veterinarian’s statement certifying that the dog is healthy and has had appropriate vaccinations for its age, including a rabies vaccination. We also require a negative fecal exam. Does your dog have any specific behavior problems we should know about before training begins? Please explain:________ ___________________________________________________________________________________________________ Has your dog ever bitten anyone? _______ If so, please explain circumstances_____________________________________ ___________________________________________________________________________________________________ What would you like to accomplish in this class?____________________________________________________________ ___________________________________________________________________________________________________ Waiver: I/we understand that attendance at any dog training class is not without risk to myself, members of my family, and my dog because some of the dogs to which I may be exposed may be difficult to control and may be the cause of injury even when handled with the greatest care. I hereby waive and release, Diane Laratta, Hollowell Kennels, Hollowell Academy of Dog Training, Dorothy Miner, Jo Ellen Gellart, Caterina O'Sullivan, Joann Monfort and Carla Amstutz, as well as any employees, officers, members and agents from any and all liability of any nature for injury , damage, or death which I or my dog may hereafter suffer, including specifically, but without limitation, any injury or damage or death resulting from the action of any dog, and I expressly assume the risk of such damage or injury or death while attending any training session, or any other function of the training organization, or while on the training grounds or surrounding area thereto. In consideration of and as inducement to the acceptance of myself and my dog for training by this training by The Hollowell Academy of Dog Training, I hereby agree to indemnify and hold harmless the Hollowell Academy of Dog Training, all employees, subcontractors, volunteers, officers, members and agents from any and all claims, or claims by any member of my family or any other person accompanying me/us to any training session or function or while on the training grounds of the surrounding area thereto as a result of any action by any dog, including my own dog, and from any claims by any person at any training session or function or while on the training grounds or surrounding area thereto as a result of any action by my own dog. Signature(s) of Dog's Owner(s)________________________________________________Date_________ Return this form with a check for $95 for Beginner’s Obedience, $55 Senior Citizen and Young People's Class, $90 for Retrieving Classes; $80 for Canine Good Citizen, Top Dog, Agility For Fun, and Agility II, $65 for Tricks.$80 for Rally-O, Sampler Class, Flyball or Canine Freestyle. $40 for Therapy Dog Prep. $120. for Tracking. Mail to: Diane Laratta, 1170 N. Wapak Rd, Elida, OH 45807. Indicate which day(s) you prefer to attend class by circling one or more of the classes below. Questions? Call 419-339-3208 (Training Building). Beginner’s: Tuesday 7:00 PM - Thur 10:00 AM or Thur 7:00PM or Saturday 10AM (winter only); Young People's Beginners: Saturday 11 AM: Senior Citizens Beginners: Saturday 2 PM; Top Dog: Monday 6 PM or Wednesday 9 AM Rally-O and Advanced: Monday 7:30PM; Flyball: Thursday 8:30 PM; Canine Good Citizen: Wed 10AM or 6:00 PM; Therapy Dog Prep Class: Wednesday 7PM or Thursday 11AM. Tracking: Saturday (Call for info), Retrieving: Monday 7PM; Tricks: Friday 6:30PM Agility For Fun: Wednesday 11AM or Wednesday 7 PM. Agility II: Wednesday - 8 PM. Sampler Class: Friday 6:30PM. 'So You Like to Dance!' call for time. Conformation: Tuesday 8:30PM NEW classes start the week of MAY 19, 2008. CLASS SIZE IS LIMITED! To ensure a spot in the class of your choice, please send your application and fee to the above address at least one week prior to class start date. |
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| Print Pg. 1 for Beginner's Obedience and classes beyond. Print Pg. 2 for Puppy Kindergarten |
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| THE HOLLOWELL ACADEMY OF DOG TRAINING APPLICATION FOR PUPPY KINDERGARTEN CLASS |
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| Our subsidiaries include: My Dog’s Favorite Place Doggie Daycare OPEN 7:00 AM to 5:30 PM Hollowell All-Breed Dog Grooming, AM & PM Appointments M-F & Saturday Hollowell Do It Yourself Dog Bathing Hollowell Lending Library of Dog Books Dog Toys: Plush Toys, Cow Hooves, Rope Toys, Tennis Balls, Raw Hide Training Equipment: Leashes and collars |
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