Puppy Play Registration Form – Wagging Pawsibilities

RM_Stats
First Name^*
Last Name^*
Email^*
Address

Address Line 1

Address Line 2

City

State or Region

Zip

Phone^*
Dog's Name^*
Breed^*
Sex^*
Male

Female

Age^*
Current Weight^*
Spayed/Neutered?^*
Yes

No

Medical Condition^*
Allergies^*
Temperment^*
Package of 5-Sessions^*
×
Waiver of Liability^*
I/We understand that attending a dog training class is not without risk to myself, my dog or members of my family and/or guests who may attend with me because some of the dogs to which I may be exposed may be difficult to control and may be the cause of injury. I/We hereby waive and release Wagging Pawsibilities Dog Training LLC, Ethan Bonen and Seven Hills Veterinary Hospital, its employees and agents from any and all liability of any nature, for injury or damage which myself or my dog may suffer, including specifically, but not limited to, any injury or damage resulting from the action of any dog, including my own and I/We expressly assume the risk of any such damage or injury while attending any training session and while on the grounds of the 7hills veterinary hospital. I/We hereby agree to accept responsibility for and indemnify and hold harmless Wagging Pawsibilities Dog Training LLC, Ethan Bonen and Seven Hills Veterinary Hospital, its employees, and agents from any and all claims by me and/or any member of my family or any other person accompanying me to any training session as a result of any injury or damage caused by any dog, including my own.

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