Group Class Registration Class InformationDog Class Type*Select a class packageNo Classes AvailableNo Classes AvailableClass Location*No Classes AvailableNo Classes AvailableClass Start Date and Time*No Classes AvailableClass Start Date and Time*No Classes AvailablePersonal InformationFull Name*Email Address* Phone number*An accurate email and phone number is essential for class updates / emergency cancellationsAddress* Street City State Zip Additional AttendeesAre you planning to bring children with you?SelectYesNoName(s) of children who plan on attending*Child's Age*SelectUnder 10 YearsAbove 10 YearsChildren under the age of 10 can attend under adult supervision. If you plan to bring young children you need two people, so one person can be 100% dedicated to training the dog.Name of another adult who who will supervise the child*Do you want to bring additional attendees?SelectYesNoName(s) of other adult(s) who plan on attendingDog's InformationPuppy's Name*Breed*Exact age of the puppy at the start of class (in weeks)*Puppy classes are limited to dogs 5.5 months or youngerSex*MaleFemaleNeutered MaleSpayed FemalePuppy's Birthday* Date Format: MM slash DD slash YYYY Veterinarian's Name*Optional InformationTraining goals | Behavior ProblemsHealth/Medical IssuesHow did you hear about us? Zen Dog Training will endeavor to create as safe an environment as possible for the training and care of my dog by offering only sound, safe, and responsible training, care, and training instructions. However, I recognize that Zen Dog Training is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times and I hereby agree to indemnify and hold harmless Zen Dog Training of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Zen Dog Training's care and under my own care as a result of following training instructions. I have been told by Zen Dog Training and understand the inherent risks in owning a dog, including but not limited to the risk of dog bites to myself or others. Total: $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name
