Group Training Class Registration Form

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NAME    EMAIL ADDRESS (FOR NOTIFICATIONS)    ADDRESS    DAY PHONE    CITY    EVENING PHONE    ZIP    REFERRED BY (VET, TRAINER, FRIEND, INTERNET, ETC.)       M    F     DOG'S NAME    DOG'S AGE    DOG'S SEX    DOG'S BREED    VET'S (OR CLINIC'S) NAME    VET'S OFFICE PHONE

Current Class Schedule

Specialty Classes

Class Day Time Date Weeks Price Instructor ClassID There are no specialty classes scheduled at this time.

Training Classes

Class Day Time Date Weeks Price Instructor ClassID Puppaccino [Puppy Kindergarten] We 10:00 - 11:00 AM Jul 9, 2008 5 $155 Becky Bishop David Bishop 18802 Puppaccino [Puppy Kindergarten] We 6:30 - 7:30 PM Jul 9, 2008 5 $155 Becky Bishop David Bishop 18803 Puppaccino [Puppy Kindergarten] Fr 10:00 - 11:00 AM Jul 11, 2008 5 $155 Becky Bishop David Bishop 18804 Puppaccino [Puppy Kindergarten] Sa 10:00 - 11:00 AM Jul 12, 2008 5 $155 Becky Bishop David Bishop 18806 Star-Barks 101 [Beyond Puppyhood] We 11:15 - 12:15 PM Jul 9, 2008 6 $165 Becky Bishop David Bishop 18807 Star-Barks 101 [Beyond Puppyhood] We 7:45 - 8:45 PM Jul 9, 2008 6 $165 Becky Bishop David Bishop 18808 Star-Barks 101 [Beyond Puppyhood] Fr 11:15 - 12:15 PM Jul 11, 2008 6 $165 Becky Bishop David Bishop 18809 Star-Barks 101 [Beyond Puppyhood] Fr 7:15 - 8:15 PM Jul 11, 2008 6 $165 Becky Bishop David Bishop 18810 Star-Barks 101 [Beyond Puppyhood] Sa 11:15 - 12:15 PM Jul 12, 2008 6 $165 Becky Bishop David Bishop 18811

Events & Seminars

Class Day Time Date Weeks Price Instructor ClassID There are no events scheduled at this time.

By signing below I/we agree that as consideration for use and enjoyment of the class and facilities, I/we hereby release Puppy Manners, Becky Bishop, class instructors, employees and volunteers, including those owning or working for the physical facility where classes are conducted (all collectively known as "instructors"), from any claims of damage or liability including but not limited to attorneys' fees, arising from the acts or omissions of the instructors, from operation of the class or facility, or which may arise or be caused by any other attending/participating individual or animal as may be present/participating at the facility or in a class. Non-neutered dogs over 7 months and/or aggressive dogs (any age) are not admitted without prior approval.

SIGNATURE (must be 18 or older, must be signed to reserve space in class)    DATE

Please complete and mail this form along with your check to:    Puppy Manners, PO Box 2569, Woodinville, WA 98072-2569

Alternatively, you may fax this form to:    425.984.0249

Receipt of payment assures your reservation for the class. Class registration fees are not refundable, transferable or pro-rated.