Dancing Dogs  Registration Form 
www.dancing-dogs.com
mobile 214-476-5577
Class ____________________Start date/time______________________

Owner’s Name______________________e-mail address:_______________
Address_______________________________________________________
Phone Number____________________  Cell Phone___________________

Dog’s Name___________________________________________________  Age____Breed_________________________________________________
How long have you owned this dog?________________________________ 

** have any dogs in your household been diagnosed with Parvovirus in the last 9 months***  _______________________________________________

What classes has this dog already taken?_____________________________
Behaviors this dog knows already__________________________________
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Skills you would like to improve___________________________________
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What 2 things get your dog very excited? ____________________________
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What are your 2 favorite things about this dog? _______________________
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What are your dog’s best qualities/traits?_____________________________
_____________________________________________________________
What would you change about this dog if you could? __________________
_____________________________________________________________
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Does your dog have any allergies, phobias, problems that would interfere with the class setting that we should know about in advance?______________________________________________________
_____________________________________________________________
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Additional information:

•	For the class, bring your dog, lots of soft, bite sized treats, (cut up hot dogs, string cheese, pup-peroni etc), a clicker, a small favorite toy, and a 4 or 6-foot cloth or leather leash (no retractable or chain  leashes please!).  Come ready to have fun!

•	Dogs and puppies attending classes are required to be current on vaccinations appropriate for their age.  Please include a copy of rabies vaccination with the registration form.

•	Your check and registration form holds your space in the class.  Class fees are fully refundable if cancellation is made before the first night of the class session.  After the first night of class, the sessions are non-refundable.  Extenuating circumstances will be handled on a case-by-case basis.  

•	Dogs in training who need extra space will be weaving a safety orange bandana.  Some of these dogs are rescue dogs who are easily intimidated, and need time to feel comfortable before greeting new dogs. Others are overexeuberant, and have owners who are trying to work on keeping their dog calm and well mannered around new dogs.  Please respect the other dogs and their owners by NOT allowing your dog to run up and greet these dogs, whether they are in your class, or the previous/following classes.  Thank you! 

Payments for the 7-week class is $160.00.  Please mail payments to: 

Dancing Dogs
PO Box 211 
Boyd TX 76023

Wear comfortable shoes and be ready to have fun!

Directions to Class:

Paws Club K9 
1901 Long Prairie Road Suite #220
Flower Mound TX 75022

http://www.pawsclubk9.org/
972-874-729
Waiver, Assumption of Risk and Agreement to hold Harmless

I understand dog training is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest care. In consideration of, and as an inducement to, the acceptance of my dog for training, I agree to indemnify and hold harmless, and hereby waive and release Dancing Dogs, Mary and J. Michael Swindell, its employees, owners or agents from any and all liability of any nature, for injury or damage which I, my family or guests or my dog may suffer.  This includes specifically, but without limitation to, any injury or damage resulting from the action of any dog including my own; and I expressly assume the risk of any such damage or injury while attending any training session or other function of the school, or while on the grounds. I also understand that the degree to which a dog is successfully trained is a function of the interest, commitment, and cooperation of the owner. I acknowledge and agree that there is no guarantee that my dog will achieve the desired level of training, despite the best efforts of the instructor. I hereby acknowledge that participation by myself in training, involves an inherent risk of and exposure to property damage and/or bodily or personal injury, including injury that may prove fatal, to myself, or to others. Dangers involved in this activity include, but are not limited to, heat related illnesses, hypothermia, cardiac/circulatory problems, musculoskeletal injuries (sprains, strains, bruises, fractures, etc.), stings and bites, concussions, and cuts/ lacerations. I fully assume all risks of injury, sickness, or death to myself, associated with participation in the above stated voluntary activity and I fully consent to my participation. I hereby waive, release, forever discharge, hold harmless, covenant not to sue, and indemnify Dancing Dogs, Mary and J. Michael Swindell, and their officers, agents and employees (hereafter “Releasees”) from any and all liability, claims, damages, demands, rights, and causes of action of whatever kind, arising from or by reason of any personal injury, property damage, or the consequences thereof, resulting from or in any way connected with training. I understand and acknowledge that acceptance of this signed RELEASE OF CLAIMS, WAIVER OF LIABILITY, ASSUMPTION OF RISKS, AND INDEMNIFICATION AGREEMENT (hereafter “Agreement”) shall not constitute a waiver, in whole or in part, of sovereign immunity by Releasees. I further understand and agree that this Agreement shall be effective during the entire period of my participation in the above referenced program. I understand and agree that the Releasees do not have medical personnel available at all times during the program and are hereby granted permission to authorize emergency medical treatment, if necessary,  and that such action by Releasees shall be subject to the terms of this Agreement. I state that I will reimburse any medical costs that may be deemed medically necessary. I acknowledge and represent that I have fully informed myself of the contents of this Agreement, that I freely and voluntarily sign this Agreement, and that it is my express intent that this Agreement shall contractually bind my heirs, executors, administrators, as well as myself.

Signature _______________________________________ Date____________________
 
Printed name_______________________________Dog’s name____________________