Enrollment Application CGC and CGCU training classPlease be honest when completing this application. There are no wrong answers. The questions are designed to help us understand your home environment. TELL US ABOUT YOURSELF:Name (primary owner of the dog)Age0 / 2Email AddressHome AddressCityState/ProvinceZIP / Postal CodeHome PhoneHome PhoneHow long in current home?EmployerHow long at current job?0 / 2Name (co-owner of the dog)AgeEmail AddressCell phoneHow long in current home?0 / 2Alt PhoneEmployerHow long at current job?0 / 2Number of People in household, Total:0 / 2Number of Adults0 / 2Number of Children0 / 2Age0 / 2Does anyone in the house smoke? YesYesNoIs everyone in the household in agreement and will work to help train your dog?YesNoDoes anyone in the household have any known animal allergies?YesNoDoes anyone in the household have any known animal allergies? If yes, please specifyTELL US ABOUT YOUR HOME:Do you:OwnRentWhat type of dwelling is it?House CondoTownhouseAptIs your yard fenced in?YesNoIf so, what is the height?0 / 2Type of fencingTELL US ABOUT YOUR PETSCURRENT PETS0 / 20 / 500 / 500 / 500 / 500 / 1500 / 1500 / 150Please provide contact information for your veterinarian:NameAddressPhoneFaxWhat do you know about Heartworms?By providing your veterinarian's information, you are giving us permission to contact your veterinarian. You also are giving permission for your Veterinarian to provide with a reference. (We need this information to confirm dogs are up to date on all shots and carry nothing contagious)How long have you been considering training your dog?0 / 2In the event you/someone in your home were unable to care for your dog who would be responsible for the animal's needswhy you are interested in training your dog?Please tell us why you are interested in training your dog? Check all that apply:Are you prepared to spend 1-2 days per week for 3 months, Training your dog?Do you anticipate any major changes in your life that could affect your dog, such as a move, new baby, change of job/schedule, in the next year? 2 years? 5 years?I certify that the above information is true and understand that false information may result in nullifying training.Signature (for electronic transmitting purposes your typed name will serve as a signature)DateName of DogMale Female SpayedNeuteredBreedColorApprox. Age0 / 2Rabies #0 / 2Microchip #0 / 10NameStreet AddressCityStateZipHome PhoneCell PhoneEmail addressInformationINFORMATION AND RESPONSIBILITIES DISCLAIMER:NamePhoneEmail AddressRESPONSIBILITIESI, the handler, and or member agree to the following terms and provisions: I agree to not abuse or neglect the dog and under no circumstances will physically punish the dog. Rather, I will consult with a trainer about the appropriate ways to deal with specific behavior problems. ___ Initials I understand that this is a legal and binding contract and by my signature agree to all of the terms herein. ________ Initials I confirm that all information given in this contract is correct and accurate. I also understand that once the contract is signed, I will be solely responsible for any actions of this animal and I agree to hold harmless its representatives from any liabilities, injuries or loss caused by this animal or any causes of actions, claims, suits or demands that arise from such injury, damages or losses. In the event the terms of this contract are breached, I, as the Guardian of this pet, shall pay for damages and not said trainer responsible for such damages, and will be responsible for all attorney’s fees and court costs involved. Any injuries sustained to self or animal at any training facility, I hold said training locations unaccountable financially.Additional comments/conditions:Handler/VolunteerDateRepresentativeDateRequirementsAll classes will be held on Tuesdays and Thursdays until further notice All classes are $20.00 per class day and are paid for that month. Any classes missed at handlers account shall be non-refundable Any classes that are rescheduled due to weather or scheduling will be made up at later date. All equipment shall be returned upon completion or you may choose to purchase All handlers and canine must be in full training gear. Water and treats are supplied by handler. All handlers will be given the AKC CGC, CGCU test prior to completion of 3 month class. Handler will be given application for AKC paperwork to register their canine upon passing. This class does not guarantee your dog will complete and or pass all testing. This depends completely on the handler and their ability to learn how to train their canine.Send Message