Registration Form

Class Registration Form and Liability Waiver

Prior to completing the Registration Form, visit our class schedule for available and upcoming classes

IMPORTANT CLASS INFORMATION

Class

Please see the Class Schedule and choose from available and upcoming classes

Class Start Date

Please see the schedule for class start dates

YYYY

Class Start Time

Please see schedule for class start times

Hour

Minute

Second

STUDENT INFORMATION

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

DOG INFORMATION

Dog's Name

Breed or Mix

Dog's Age (at start of class)

How long have you had your dog?

Where did you get your dog?

Gender

Male

Female

Spayed/Neutered?

Yes

Describe your dog's previous training

Where did this training occur?

Name of Vet Clinic

My dog is healthy/current on all vaccines

Yes

I can provide proof of vaccines

Yes

List your top three struggles in order of priority

Is there anything else we should know?

I agree to Daytripper Dog Training's Release of Liability. Please read our LIABILITY WAIVER *

I agree