Pet's Name
Pet's Veterinarian Clinic
Is your pet in good health?
If not, please explain health concern:
Is your pet current on
vaccinations?
The following are the vaccinations
REQUIRED
to attend classes:
DHPP
or DHPPC (Puppies must have at least two of the
series of four)
Bordetella (kennel cough)
done within the last 6 months
Rabies
(if over 16 weeks - MUST be provided by a licensed vet)
Fecal
exam (actual stool sample examined) - done within last 6 months
Has your pet been Heartworm
tested?
Heartworm tests are required for dogs
over sixteen months of age.
Has your pet been spayed or
neutered?
Not required for classes.
Has your pet had previous
training?
If so, please list what training and
where:
Any health or behavioral
issues?
Has your dog ever bitten a
person or another dog?
Does not eliminate the dog from
classes (If your answer is "yes", please explain.)
Type of Class
2012
Start Date of Class
Time of Class
I understand and agree that ABC Pet Training
shall not be liable for any injury or damage to any person, pet or property,
which results from the training or behavior or my pet. I further agree
that ABC and its employees shall not be held liable for any costs or expenses
incurred in connection with any claim occurring as a result of my pet's
participation in the program. I also agree that ABC will not be held liable for any injury caused to my person,
property or pet while attending a training class as a result of my own
negligence.
Refund and Transfer Policy:
NO REFUNDS WILL BE ISSUED,unless the class has been cancelled by ABC and no other
option is available to the pet parent. If you have attended any of the class sessions a
partial credit will be issued at the rate of $15.00 per class attended of an
8-week session and $20.00 per class attended of a 6-week class.
NO REFUNDS WILL BE GIVEN ONCE THE CLASS HAS BEGUN. In
addition, if a refund is requested PRIOR to the start of class, a $25.00 will
be deducted from refund.
In addition, if a pet parent requests to begin
the class at a later time, for any reason,
a $25.00
fee will be assessed,
along with a class payment as calculated
above. For example, if you have attended 3 weeks of an 8-week manners class,
ABC will apply $20.00 toward the tuition of the new class. This results in a
balance due by the pet parent of $100.00 to begin a new class
($45.00 class credit, minus $25.00 fee). Please note that
credits will only be valid for 180 days from the purchase date. After that
time, all credits will be forfeited to ABC Pet Training. In addition, credits
may only be applied once. If the second class is not completed, all credits
will be forfeited to ABC Pet Training.
You must hit the SUBMIT button or your form
will not be forwarded to us.
In addition, there is as occasional glitch in the system so if you have not
received a confirmation e-mail within 48 hours, please call us at
(816) 868-9845 or (816) 863-7639 to ensure enrollment in your class.