You may type in your information and print out the completed form
or you may print out a blank form to complete by hand. Follow instructions at the end of the
form for mailing.
First Name:
Last Name:
Address:
City/Town:
State:
Zip:
Home Phone:
Work Phone:
Ext:
Email Address:
What is your dog's name?
What is your dog's date of birth?
Age now?
What is your dog's breed or mixture?
Is your dog Male:
or Female:
Is your dog spayed or neutered? Yes:
No:
Not yet:
From whom did you acquire this dog? Breeder/Shelter/Pet Store/Other (Please
give name, if possible)
How old was this dog when you got it?
Is this the first dog you've raised as an adult? Yes:
No:
Is your dog friendly with people? Yes:
No:
Has the dog ever seriously injured another dog? Yes:
No:
Have you taken a dog through training before? Yes:
No:
Where?
Did you enjoy it? Yes:
No:
What are the three most important things you would like to get from this class:
Vet's name/Practice:
Date of DHLP/P:
Date of Rabies:
How did you learn about WonderDogs?
If you learned about us through a friend or neighbor, may we have that person's
name?
The class I am enrolling it is:
Puppy Head Start:
Terrible Teens:
Adult Beginners:
Finishing School (CGC):
Beginner Agility:
Intermediate Agility:
Advanced Agility:
Flyball:
Canine Music Freestyle:
Competition Obedience/Pre-Novice:
Novice/Open:
Rally 1:
Rally 2 Show Handling Beginner Show Handling Advanced
Please indicate your first and second preferences of class date and time if applicable:
First: Second:
Note: Space will be reserved only when payment in full has been received. Once the session has begun, there will be no refunds. Cancellations received less than one week before start date of class will receive a partial refund only. We accept cash, checks, VISA and MasterCard. Prices and start dates/times are subject to change without notice.
How would you like to pay for your class?
Check (please enclose with enrollment form)
Credit Card
Number: Expiration Date:
Name as it appears on card:
V-Code (last 3 numbers on signature strip on the back of your card
Please print out this form now. After printing, READ and SIGN the following AGREEMENT:
WonderDogs, Inc.
424D Kelly Drive
W. Berlin, NJ 08091
(856) 767-6464
AGREEMENT
I understand that attendance of a dog obedience training class, seminar, function or event, is not without risk to myself, to members of my family or to guests who may attend or to my dog(s) since, by way of example and not all inclusive, some of the dog to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest degree and amount of care.
I agree to hold the instructor(s), seminar presenter(s) and WonderDogs, Inc., harmless for any and all claims for loss or injury which may be alleged to have been and/or have been caused directly or indirectly to any person, dog or thing by my act or the act of my dog(s) while in or near the training area, or near the entrance thereto, and I personally assume all responsibility and liability for any such claim; I further agree to hold the aforementioned party(ies) harmless for any and all claims for damage or injury to my dog(so, whether loss, theft, disappearance, damage, or injury be caused or be alleged to be caused by the negligence, actions or inactions of the aforementioned party(ies), or by the negligence actions or inaction of any other person, dog or thing, or any other cause or causes.
I further understand that once the dog obedience class, sports class, seminar, function or event has begun, I am not entitled to a refund of any kind should I be unable to complete the activity. I also understand that cancellation less than 48 hours before the start of the class will entitle me to only a partial refund unless my spot in the class can be filled before it commences.
I acknowledge that I have had sufficient time to read this Agreement and that I am entering into such voluntarily and with full understanding of the terms contained herein. I further agree that this Agreement is binding for this and all subsequent seminars, events or functions that I attend.
____________________________________________________________________________________________
Signature of Owner or Authorized Agent
Date
Mail your: Completed Enrollment Form, Signed Agreement and your Payment to:
WonderDogs, Inc.
424 Kelly Drive
West Berlin, NJ 08091