APPLICATION
&
WAIVER
FORMS

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

 

Registration and Information Form

May To December 2010

   Location              Day                            Date                            Time                           Level

Beaconsfield

Mondays

May 3 to June 14

No class May 24

7:00 PM - 8:00 PM

BASIC

 

 

May 3 to June 4

No class May 24

8:00 PM –9:00 PM

BASIC for Small dogs (under 20lbs)

 

 

September 13-October 25

no class October 11

7:00 PM - 8:00 PM

BASIC

 

 

September 13-October 25

no class October 11

8:00 PM –9:00 PM

BASIC

 

 

November 8 to December 13

7:00 PM - 8:00 PM

BASIC

 

 

November 8 to December 13

8:00 PM –9:00 PM

BASIC
For Small breeds

Beaconsfield

Wednesdays

June 2 to July 7

6:30PM – 7:30 PM

Puppy Pre School

 

 

June 2 to July 7

7:30 PM –8:30 PM

BASIC

 

 

July 14 to August 18

6:30PM – 7:30 PM

Puppy Pre School

 

 

July 14 to August 18

7:30 PM –8:30 PM

BASIC

 

 

September 1 to October 6

6:30PM – 7:30 PM

Puppy Pre School

 

 

September 1 to October 6

7:30 PM –8:30 PM

BASIC

 

 

October 27 to December 1

6:30PM – 7:30 PM

Puppy Pre School

 

 

October 27 to December 1

7:30 PM –8:30 PM

BASIC
For Puppy Grads

NDG

Tuesdays

April 27 to June1

6:00 PM –7:00 PM

Puppy Pre School

 

       FULL

April 27 to June1

7:00 PM -8:00 PM

BASIC

 

 

April 27 to June1

8:00 PM –9:00 PM

BASIC
for Small Breeds

 

 

June 8 to July 13

6:30 PM –7:30 PM

Puppy Pre School

 

 

June 8 to July 13

7:30 PM -8:30 PM

BASIC

 

 

July 20 to August 24

6:30 PM –7:30 PM

Puppy Pre School

 

 

July 20 to August 24

7:30 PM -8:30 PM

BASIC

 

 

September 14 to October 19

6:00 PM –7:00 PM

Puppy Pre School

 

 

September 14 to October 19

7:00 PM -8:00 PM

BASIC

 

 

September 14 to October 19

8:00 PM –9:00 PM

BASIC
For Puppy Grads

 

 

November 2 to December 7

6:00 PM –7:00 PM

Puppy Pre School

 

 

November 2 to December 7

7:00 PM -8:00 PM

BASIC

 

 

November 2 to December 7

8:00 PM –9:00 PM

Advanced

 

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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