Private Training Sessions

Your Address

Your phone number

Your Email

About Your Dog

How did you hear about Canine Conduct?

I give permission for my video and/or picture image(s) to appear on public forum(s)

Waiver
I agree that Canine Conduct has the right to refuse this application for causes that it shall deem to be sufficient. In consideration
of the acceptance of the application and the provision of training, I agree to hold the organization, Canine Conduct, including it’s
officers, directors and owners of the premises/property harmless from any claim for loss or injury which may be alleged to have
been caused directly to any person or thing by the act of this/these dog(s) while in or upon any organization premises or
grounds or near any entrance thereto, and I personally assume all responsibility and liability for any such claim. I further agree
to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and
from any claim for damage or injury caused or alleged to be caused by negligence of the parties aforementioned, or by the
negligence of any other person, or any other cause or causes. I hereby assume the sole responsibility for and agree to
indemnify and save harmless the aforementioned parties from any and all loss and expenses (including legal fees) by reason of
the liability imposed upon by any of the aforementioned parties for damage causing bodily injures, including death, at any time
resulting from or sustained by any person or persons including myself, or on account of damage to property arising out of or in
consequence of my participation in any Canine Conduct event, howsoever such injuries, death or damage to property may be
caused or may have been alleged to have been caused by negligence of the aforementioned parties or any of their employees,
agents, or any other person.

Please Note: Fees are charged regardless of handler’s attendance.

Payment

I have enclosed paypal/cheque/cash payable to Canine Conduct in the amount of:
(Class fees are listed in the descriptions above.)

Electronic Signature and Date:

Notes and Comments