Francesca's Dog Training

Application

Francesca's Dog Training Application 2013
You must submit your dog's shot record and a personal check with this application to secure a spot in a particular class. ALL registrations must be received by February 27th in order to receive confirmation. Contact Francesca, either by email or phone (707-451-9900). Francesca will provide information about the next current session of classes.
I am signing up for (indicate class start date & time)
Owner Information
Name
Address
Email Address
Phone Number
Number of spectators in addition to the person handling the dog in class?
Dog Information
Name			Breed
Sex	M	F	Age
Have you had this dog from a puppy ? Yes.....................No (if no, what age?)
Did you rescue this dog?
Has your dog ever shown aggression to other dogs? Yes ...................... No
If yes, please explain briefly
Has your dog ever shown aggression to people ? Yes ............................No
If yes, please explain briefly
Is your dog afraid of strangers ? Yes ................................ No
I, ....................................................................................., release Francesca Marsh (instructor) from any and all personal injury to myself, my dog, children in my care, or harm to property caused directly or indirectly by these classes. I assume sole responsibility for injury or damage caused by myself, children in my care, or by the dog I own or handle in these classes. I have read this carefully and fully understand that this is a release of liability.
Signature
Print Name
Please mail your check made out to Francesca Marsh, along with this completed application, and shot record to the following address: 6927 Cypress Trail, Dixon, CA 95620 ALL registrations must be received by February 27th in order to receive confirmation..

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