****GREAT COMPANIONS -- REGISTRATION FORM****
Print out the next two pages, fill them out, and send them to the address below with your payment

Name: ______________________________________           Dog's Name: _________________________

Address: ____________________________________            Dog's Breed/Mix:_____________________

City, State, Zip: _______________________________________________________________________

E-mail Address: ______________________________________________________________________

Phones: (H)______________________  (W)_________________________  Dog's Age: _____________

How old was the dog when you got him?_____________    From where: ____________________________

Please describe the challenges you are having with the dog:______________________________________

What goals do you wish to achieve through class?______________________________________________

Describe the number and lengths of daily walks:_______________________________________________

How often does your dog interact with other dogs?_____________________________________________

Has your dog ever bitten a person or attacked a dog? Please explain:________________________________

Describe the type and amount of food your dog eats:___________________________________________

Have you and your dog been through training before (describe)?___________________________________

You are registering for the following course:________________________________________________

I understand all my responsbilities listed below ____________________________________(Signature)

Date:_____________________

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Please keep a copy for your records
Class is filled in the order payment is received. Please send your completed registration and check in immediately!
You will be responsible for bringing the following to class:
Proof of vaccinations, a buckle collar, a six-foot leash--preferably leather, a mat for your dog to lay on, a toy
to keep him busy during talk-time, a poopie bag, a container of semi-soft treats the size of your
pinky fingernail, and a hungry, empty dog!
MAKE CHECK PAYABLE TO: "GREAT COMPANIONS" AND SEND TO:
Great Companions, P.O.Box 36, Neffs, PA 18065-0036
GROUP CLASS WILL TAKE PLACE AT GREAT COMPANIONS, 6127 Pa Rte 873, Slatington (Neffs) PA
For directions and a map click on the "DIRECTIONS" link on the Class Schedule page or
contact Ali Brown at (610) 737-1550 or email tanacacia@aol.com

***Get a friend to register for a class and get a free lesson!***

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Liability Waiver

I understand that attendance in a dog obedience training class is not without risk to myself, members of my family,
guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to
control and may be the cause of injury and/or damage even when handled with the greatest amount of care.

On acceptance of my application to attend this dog obedience training class, I hereby waive, release, and agree
to hold harmless, Ali Brown, Sue Sanders, Great Companions, volunteers, and/or agents hereinafter referred to as
Great Companions for injury and/or damage which I, my family, my guests, or my dog may suffer, including, but not
limited to, any injury or damage resulting from the action of any dog(s) in the training session or on the training grounds.

In addition, I expressly assume the risk of such injury or damage while attending any training session, any
other function of Great Companions, and/or while on the training grounds or surrounding areas thereto.

I hereby agree to indemnify, compensate, and hold harmless Great Companions and Ali Brown for all claims asserted
by the aforementioned, for injury or damage that occurs while attending any training session and/or other function of
Great Companions, or while on the training grounds or surrounding areas thereto, as a result of any my actions, the actions
of any person(s) accompanying me,and/or the actions of my dog(s), that causes injury and/or damage.


Signature of Owner:____________________________________________________________

Date:___________________________________________

Owner's Name (please print):_____________________________________________________

Without prior permission, all handlers must be at least 14 years old.

Refund Policy: No refunds will be made after the start date of the class for which the fee has been paid.
A 25% administration fee will be charged for anyone requesting a refund when they notify Great Companions
that they will be unable to attend classes for any reason prior to the start of the session for which they've paid.
No pro rates will be given for classes missed.

Winter Bad Weather Policy: If the forecast is for 2 inches or more of snow, or if 2 hours before class we
are experiencing freezing rain, class is postponed the first time. If that happens again for that same class,
that class may be cancelled and not made up. In that case, attempts will be made to cover all materials in
an abbreviated class schedule.

Summer Bad Weather Policy: Classes cannot be cancelled due to thunderstorms because they are too
isolated and unpredictable to affect all students. Please call Great Companions any time prior to your
scheduled class if you are aware of tornado warnings in your travel area.