K-9 Games Inc.
"Where it's fun training your dog"
Mailing Address:P.O. Box 283, Lisbon, ME  04250

Location: Bowdoinham, Maine
Phone: 207-353-8005  Email: k9games@gwi.net

If you are interested in attending this class and want us to hold a spot for you, please print this document, fill out the information requested, and sign the second page. Mail with a $25.00 deposit to: K-9 Games Inc., P.O. Box 283, Lisbon, ME 04250, Registration the first night of class will be on a first come, first serve basis.

HANDLER INFORMATION

*** Note: Please print clearly to insure we know where to reach you concerning the class of your choice. ***

Name ______________________________________________________ Age (if under 18) ___________

Street _________________________________________   City ____________________________________________________

State _________ Zip _________________

Phone ______________________________________  

Email Address (print clearly)________________________________________________________________________________  

How did you learn about these classes?

_____ Former Trainee   _____ Current Trainee   _____ Telephone Book

_____ Veterinarian _________________________

_____ Newspaper Ad _________________________

_____ Groomer _________________________

_____ Kennel _________________________

_____ Other _________________________

DOG INFORMATION

Breed _________________________ Age _____ Call Name _________________________ Sex(circle) M   F

Veterinarian ___________________________________ Last Vaccination Dates: Rabies __________ DHL __________

How long have you had this dog? ___________________

Have you owned a dog before? (circle) Yes   No   If yes, what breed? ____________________

Have you trained a dog before? (circle) Yes   No   If yes, when? __________ where? __________

Briefly state what you hope to accomplish __________________________________________________

____________________________________________________________________________________________

AGREEMENT TO HOLD HARMLESS, WAIVER

AND ASSUMPTION OF RISK

I understand that attendance of a dog obedience training class 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 will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.

I hereby waive and release K-Games, Inc., hereinafter referred to as the “Training Organization”, its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training sessions, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.

Signature of Owner or Authorized Agent __________________________________ Date____________________
(In case of a minor, a parent or legal guardian must sign.)