APPLICATION
&
WAIVER
FORMS

Positive Canine   450-691-4769               positivecanine@aol.com

 

Registration and Information Form

January to June 2008

Beaconsfield

Mondays

March 31 –  May 5

7:00 PM - 8:00 PM

Basic

 

 

March 31 –  May 5

8:00 PM –9:00 PM

Puppy Pre School

 

Wednesdays

May 28 –  July 2

6:30 PM –7:30 PM

Puppy Pre School

 

 

May 28 –  July 2

7:30 PM –8:30 PM

Basic

Montreal West

Tuesdays

April 1 – May 6

6:00 PM –7:00 PM

Puppy Pre School

 

 

April 1 – May 6

7:00 PM - 8:00 PM

Basic

 

 

April 1 – May 6

8:00 PM –9:00 PM

Basic

 

 

May 13 –  June 17

6:00 PM –7:00 PM

Puppy Pre School

 

 

May 13 –  June 17

7:00 PM -8:00 PM

Basic

 

 

May 13 –  June 17

8:00 PM –9:00 PM

Intermediate

 

Click Below 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 above 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:______________

 

Please Note the Following:

  • The cost  is $150 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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