Pet HeadQuarters Training Registration - Pet HeadQuarters | Santa Photos | Dog and Cat Food | Raw Foods

Your pets name? *

What breed of dog? *

Age of Dog? *

What class (es) are you registering for? *

Puppy (Puppies must be younger than 4 months at beginning of class)
Level 1
Level 2

Is your pet spayed or neutered?

Yes
No

What veterinarian do you use? *

What is your veterinarian's number?

I acknowledge and agree that I must show proof of vaccination by a veterinarian before I may attend classes. *

I agree
I do not agree

Does your dog have any behavioral issues such as aggression (whether to dogs or people), fear or allergies that I need to be aware of? If so, please explain. *

Your Name *

First

Last

Your Email *

Email

Confirm Email

Phone number *

Alternate phone number

Street address *

City, State, Zip *

Where you referred?

Yes
No

If yes, by whom?

What orientation will you be attending? *

Do you have any goals or expectations with training? *

I understand that I have 3 months to begin my classes once I have attended orientation, or I will need to attend orientation again with an additional cost of $20.00. *

I agree
I disagree

All classes are filled on a first come, first served basis. You will not be considered fully registered until both registration and payment are received. *

I agree
I disagree

I understand that classes are non-refundable once I have attended orientation. *

I agree
I disagree

Trainer has the right to refuse services if a student (person or animal) is a threat within the classroom, is unhealthy, does not seem suitable for services, or does not sign up for classes in a proper and timely fashion. *

I agree
I disagree

Owner is responsible for removal of excrement of their pet inside and outside the premises of Pet HQ. *

I agree
I disagree

I agree to hold Trainer and agents of Pet HQ harmless from liability for any loss, damage or injury to persons, animals or property arising from pet. *

I agree
I disagree

I understand that the Trainer offers no guarantee due to not being able to monitor if different training methods are used outside of the classroom or how often items are practiced. *

I agree
I disagree

Please type in your Name and Date as acceptance of above stipulations. *

Email *