Application, Schedule and Waiver

positivecanine@gmail.com                        450-691-4769                                   www.positivecanine.com

 

Registration and Information Form

January to June 2012

       Day                Location                            Date                            Time                           Level

Tuesday

NDG

January 10 to February 14

6:00 PM–7:00 PM

Puppy Pre School

 

 Full

January 10 to February 14

7:00 PM-8:00 PM

Basic

 

 

January 10 to February 14

8:00 PM–9:00 PM

Basic

 

 

March 13 to April 17

6:00 PM–7:00 PM

Puppy Pre School

 

 

March 13 to April 17

7:00 PM -8:00 PM

Basic

 

 

March 13 to April 17

8:00 PM–9:00 PM

Basic for puppy Grads

 

 

May 1 to June 5

6:00 PM–7:00 PM

Basic

 

 

May 1 to June 5

7:00 PM -8:00 PM

Puppy Pre School

 

 

May 1 to June 5

8:00 PM–9:00 PM

Basic for Small Dogs

 

 

June 19 to July 24

6:30 PM–7:30 PM

Puppy Pre School

 

 

June 19 to July 24

7:30 PM -8:30 PM

Basic

Wednesday

Beaconsfield

January 18 to February 22

6:00 PM–7:00 PM

Puppy Pre School

 

 

January 18 to February 22

7:00 PM–8:00 PM

Basic

 

 

March 21 to April 25

6:30 PM–7:30 PM

Puppy Pre School

 

 

March 21 to April 25

7:30 PM–8:30 PM

Basic

 

 

May 16 to June 20

6:30 PM–7:30 PM

Puppy Pre School

 

 

May 16 to June 20

7:30 P –8:30 PM

Basic

 

 

July 4 to August 8

6:30 PM–7:30 PM

Puppy Pre School

 

 

July 4 to August 8

7:30 PM–8:30 PM

Basic

Thursday

Beaconsfield

January 12 to February 18

6:30 PM–7:30 PM

Basic

 

 

January 12 to February 18

7:30 PM–8:30 PM

Basic for Small Dogs

 

 

March 15 to April 19

6:30 PM–7:30 PM

Basic

 

 

March 15 to April 19

7:30 PM–8:30 PM

Intermediate

 

 

May 3 to June 7

6:30PM–7:30 PM

Basic

 

 

May 3 to June 7

7:30 PM–8:30 PM

Basic for Puppy Grads

 

Note:  Dates, times and class offering are subject to change.

 To Download A Printable
Version Of The Application Form:


You Will Need Microsoft Word to open it

 

Course Application

           Owners Name: _________________________________________________
                      Please print and put it exactly as you wish it to appear on any diplomas

Address:____________________City:__________________ Postal Code______________

Email:____________________ Day(___)________________ Evening(___)___________________

Dogs Name: _________________ DOB:___/___/___ Breed:________________

Male or Female? ____ Neutered or Spayed?_____ Referred by:__________________________

Based on the offerings of the current schedule please fill in your choice:

Location                    Course Name                              Time                        Date

_____________________________________________________________________________________________________

 

 Waiver, Assumption of Risk and agreement to Hold Harmless

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/we will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care or otherwise.

I hereby waive and release Susan Gillett, the landlord, employees (sub-contractors), owners and agents from any and all liability of any nature, for injury or damage resulting from the action or inaction of any dog or its owner or handler, or from the action or inaction of the landlord, Susan Gillett, or employees (sub-contractors), owners or agents, whether arising from negligence or any other reason or cause whatsoever and I expressly assume risk of any such damage or injury while attending any training session or function of Susan Gillett, or her employees or(sub-contractors), owners or agents, whether arising from negligence or any other reason or cause whatsoever.

I acknowledge that I fully understand the terms and provisions of the WAIVER, ASSUMPTION OF RISK AND AGREEMENT TO HOLD HARMLESS and that I am setting my hand delivering the same freely and voluntarily and unconditionally.

Ce contract a ete redige en anglais a la demande des deux parties.

Signature of owner or authorized agent:_____________________________Date:______________

 

Take note of the following:

  • The cost  is $160 for the six week course (GST\PST are included in all prices)
  • All dogs must be appropriately vaccinated
  • Enrollment is 1st come 1st serve basis and confirmation will be made upon receipt of your registration and payment.  Class size is limited.
  • Return the bottom portion of the form completed and signed, with your cheque dated for the first day of class, and made payable to Susan Gillett (Positive Canine)  251 Mitchell St, Chateauguay, QC   J6J 2E9

First Night:  Bring the dog (unless it is puppy preschool then the first night is without the dog), plain buckle collar, no flexible leads, soft (easy to break) treats and comfortable shoes.


 

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