* Please complete this form in its entirety as all fields are required. Thank You!
* Please note that you MUST provide proof of vaccinations PRIOR to the start of class
Best Number to Call You at:
E-Mail Format: dogs@ruletheworld.com
Class Day and Time Preferences:
Agreement to Release and Waive Liability, Indemnify and Assumption of Risk and Hold Harmless
I understand that attendance in a dog training class, seminar, workshop or other canine event is not without risk to myself, members of my family, guests who may attend, my dog, other participants and other dogs. I understand that the risks include, without limitations, risk of physical injury, mental injury, emotional distress, trauma, death, contact with other participants and dogs.
I hereby waive and release the facility management & owners, Lisa Selthofer, Premier Canine Club and its agents from any and all liability of any nature, for injury or damage for which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training class/seminar/workshop or other function, or while on the training grounds or surrounding area thereto.
In consideration of and inducement to the acceptance of my application for training in this class/seminar/workshop, I hereby agree to indemnify and hold harmless the facility management & owners, Lisa Selthofer, Premier Canine Club and its agents from any claims, or claims by any member of my family or and other person accompanying me to any training session or function of the training/seminar/workshop or while on the grounds or surrounding area thereto as a result of any action by any dog, including my own or any person.
I understand that I may be excused from training/seminar/workshop at the discretion of the instructor or facility for any reason, including, but not limited to: failure to follow the facility rules, consistent unsafe handling, not following direction, the use of profanity, disorderly conduct, animal or people abuse, extreme aggression or an uncontrollable dog.
I understand that when I register for class, my weekly attendance is expected as each week's lessons build upon the last. If I will need to miss a class, I will kindly e-mail Info@PremierK9Club.com to notify the instructor. Further, I understand that class make-ups, proration of cost and refunds are not available, regardless of the reason.
By clicking the below "I Agree" button, I hereby state that I fully understand and agree to the above terms and conditions in consideration for services provided by Lisa Selthofer, Premier Canine Club and/or its agents.
Release Form
To Sign-Up for Class:
How Did You Hear Of Us?
Has the dog ever bitten anyone?
If Yes, please describe the circumstances in the box below
Has the dog ever been in a fight with another dog?
If Yes, please describe the circumstances in the box below
Are there any issues (behavior, medical, etc.) that we should be aware of with your dog?
If Yes, please describe the circumstances in the box below
If you answered NO to all of the above questions, please type NONE in the below box.
If you answered YES to any of the above questions, please provide specific detail below.
Do you have any medical issues that we should be aware?
If Yes, please describe the circumstances in the box below
Pinky
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Obedience Classes in Maple Valley at Centennial Kennels
($125 per 6 week session):
Agility Classes in Auburn or Kent
($105 per 6 week session):
This Registration Form will automatically be e-mailed to Premier K9 Club.
Addtional Items To Be Completed:
For the health & safety of all dogs, proof of current vaccinations is REQUIRED prior to the first night of class. You may mail a copy with class payment, e-mail a scanned copy or you and/or your vet may fax a copy to our attention.
Payment is required PRIOR to the start of class. You are not guaranteed a spot until payment is received. (Obedience Classes are $125 & Agility Classes are $105)
Payment Options:
Check Payable to Premier K9 Club - Must arrive 1 week prior to class (if signing up for class less than 7 days prior, please bring a check with you). Mail to Premier K9 Club, 18321 SE 284th Street, Covington, WA 98042.
Visa, Mastercard or Debit Card via PayPal - A PayPal account is not necessary. Should you chose this method for your convenience, we will send you an invoice & payment link via e-mail.
