Training Class Release Form

/Training Class Release Form
Training Class Release Form 2015-06-06T17:02:20+00:00

Please make sure you bring vaccination records (bordetella, distemper and rabies) on your first day of class.

Training Class Release Form

Owner Information
Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Emergency Contact
Dog Information
Sex:*
Spay/Neuter Status:*
Tell us more about your pooch's personality:
Select all that apply
Vaccines
Veterinary Information
Release of Liability

I understand that although all client dogs are domesticated and under constant supervision, an injury to my dog can occur, in which event I release Urban Pooch, Inc. and its owners and staff of any and all liability, financial and otherwise, which arise in any way from services and/or products provided or as a consequence of my association with Urban Pooch.

I waive any and all claims, actions or demands of any nature, foreseen and unforeseen, that I may have against Urban Pooch relating to the care, control, health and/or safety of my dog arising during drop-off, pick-up, transport and stay at the facility.

Please sign below using your computer's mouse, trackpad or finger or stylus, if viewing on a mobile device.

IMPORTANT - PLEASE BRING IN OR SEND A COPY OF YOUR DOG'S VACCINATION RECORDS BY THE FIRST DAY OF CLASS.