ALL CLASSES HELD AT 910 CURTIN ST, HOUSTON TX 77018  – just outside 610 Loop off N. Shepherd

Class :  _______puppy-less than 6 months    _______Basic Manners      _______ 4 week CGC             _______  week 5 CGC Test

Last Name First M.I. Date
Street Address Apartment/Unit #
City State ZIP
Phone to Text and E-mail Address
Dog’s Name Breed. DOB/age
Male Female Spayed Neutered Intact
Vet:  and Vet’s phone #
Where did you get your dog? Breeder Shelter When?
Do you have other dogs / cats in house?

Have you taken any obedience classes before? What and When
Have you and your dog taken any classes together? What and When
Any problems or issues? Explain
Has your dog ever bitten another dog or person? Explain

I understand that participation in dog obedience training classes is not without risk to myself, my family or dog. I therefore waive and release CampJan, Jan Nuzzo, SmartDog Training Center from any liability for injury or damage suffered as a result of attending this class or any Private lessons. This includes any damage or injury resulting from any person or dog, or any accident occurring on these grounds.
I agree to accept all responsibility for actions of myself, my guests and my dog.

Signed: ________________________ Date: _________

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