HiTopDog Registration Form

If you have any trouble with this registration form, please email hitopdog@aol.com. This form must be completed and payment by PayPal or check must be received prior to the first class to reserve your spot. Please make checks out to Nancy Banask and mail to: 139 Conifer Lane Hurley NY, 12443d

Owner's Name *

Phone Number *

Full Address *

Email *

Dog's Name *

Breed *

Agreement

I understand that taking dog obedience or agility classes is not without risk to myself, my dog, or any guests I bring to class. I hereby wave Hi-Top Dog Training, Nancy Banask, & Hurley Reformed Church from any and all liability. I assume the risk of damage or injury while on the premises of the facility. NO REFUNDS OR CREDIT will be given for any classes that are not attended for any reason. I understand that if my dog shows any dangerous behavior in any way we will be dismissed without refund.

Signature *

Date *

Class You Are Signing Up For *

Class Start Date *

Rabies Expiration Date *

Please email Nancy at hitopdog@aol.com with any questions.

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HiTopDog Registration Form

Agreement