Training Club Registration Form
Coaching Option
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Full Name
Dog's Name
Address
Phone Number
Email Address
Dog's Age
Dog's Breed/Mix
Spayed/Neutered?
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When?
Has your dog ever acted aggressively towards other dogs? If yes, please explain:
Has your dog ever acted aggressively towards people? If yes, please explain:
What are three goals you have for this class?
What is you favorite thing about your dog?
Please check anything you feel applies to your dog:
Is there anything else we should know about your dog? Allergies? Physical limitations?
How did you hear about Atta Pup?
Terms and Conditions
You must attend the free new members seminar in order to attend.

Payment: Payment is due prior to first training club visit. No refunds or transfers will be given for failure to attend the club.

Removal from training: Trainer, at his/her sole discretion, may remove a pet or person from training club if a hazard or threat of any nature to any other animal or person is present. No refund will be given under such circumstances.

Vaccinations: Puppies must show proof of first distemper vaccination and/or titer and rabies if they are old enough. Adult dogs must show recent rabies and distemper vaccinations or titers. These can be uploaded below.
Liability
I, the undersigned owner/handler (client) of the dog described above do hereby agree that Heather Gruber, Atta Pup! Dog and Puppy Training and all Atta Pup! employees and agents will not be liable for any damage or loss resulting from failure of the dog to respond to any cues or behaviors taught to him/her by Atta Pup! or resulting from counseling and advice supplied to the owners/handlers of the dog. The dog’s behavior now and in the future is solely the responsibility of the owners/handlers (client) of the dog. Should any behavior on the dog’s part now or in the future result in damage to the property, owners, or person or property of some third party, owner agrees to assume full responsibility for any and all such damage, and to absolve Heather Gruber and Atta Pup! and all Atta Pup! employees and agents from any and all obligations to pay such damage to owner/handler or third party. All dogs are trained or otherwise handled or cared for by or owner/handler receives instruction from Heather Gruber and Atta Pup! without any liability whatsoever against Heather Gruber, Atta Pup! or any Atta Pup! employee or agent for loss, damage from disease, death, running away, theft, fire, injury to or from persons, other dogs or property, or by any other causes.

At Trainer's sole election, Trainer's duties hereunder shall terminate if (a) in Trainer's sole judgment Dog is dangerous to Trainer or any other person or animal, or interferes with the training of other dogs, or (b) Client breaches any term or condition of this Agreement. Upon termination in accordance with the foregoing, Trainer's duties shall terminate but all other provisions of this Agreement shall continue in full force and effect.

I represent that I have read this Release before signing it and understand its provisions. I affirm and warrant that I have reached the age of majority and have full authority to make the grants herein contained.

My typed NAME and DATE below represent my electronic signature: *
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