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GOLDEN TOUCH TRAINING

Class Application Form

 

 

Owner’s Name:

_____________________________________________________________

Address:

_____________________________________________________________

City, State, Zip:

_____________________________________________________________

Home Phone:

________________________

Work Phone:

____________________

 

Dog’s Name:

_____________________________________________________________

Breed:

_____________________________________________________________

Age:

______________________

Sex:

______________________

 

 

Class date and time you are registering for:

Date:

______________________

Time:

______________________

 

 

 

     I/We agree to assume full responsibility and liability for myself/ourselves, my/our family and my/our pet. I/We will not hold Lynne Shaw responsible for any loss or injury that may occur during or following training class. I/We assume full responsibility for utilizing any training methods and recommendations.

 

Signed:

_____________________________________________

Date:

___________

Parent:

____________________________________________________________                              (Required if applicant/handler is under 18 years old)

Date:

___________

 

 

Make checks payable to:

Lynne Shaw

 

Send registration, fee and vaccination information to:

Lynne Shaw

 

1707 W. Summer Street

 

Appleton, WI  54911