Registration

Name of handler(s) (required)

Address

City

ZIP

Cell Phone

Alternative Phone

Your Email (required)

Pet Information

Dog's Name

Breed

MaleFemale

Dog's Age

How old was the dog when you got him?

Where did you get your pet from?

Any specific behaviors you want to address in this class? Please elaborate

Class Information

Class Name

Amount

Please note: The class payment is non-refundable and upon a returned check from the bank for any reason, I agree to pay a $50.00 returned check fee.

Payment Options & Conditions
By check, money orders or cash ... (A receipt will be given for cash payments, if requested.

Please mail check payable to:
K9 Toddlers
17412 Ventura Blvd. -- Suite # 184
Encino, CA - 91316

Pay Via PayPal
You can go to www.paypal.com/send-money‎ and use your credit or debit card to pay class fee (please calculate and add the additional 3% processing fee!) to my email address at Teka@K9Toddlers.com.

* * * There is a 3% processing fee on PayPal transactions! * * *

Waiver, Agreement & Assumption of Risk
My signature below indicates that I, as the legal owner/agent of the above mentioned pet, having carefully read and fully understand this agreement, do hereby waive and release Teka Martin, K9 Toddlers, its employees, volunteers and other associates from any and all liability of any nature. This includes any injury, death, sickness or damage my pet may suffer during or after any training program. I also affirm my dog is current on all vaccinations required by law and agree to indemnify and hold harmless Teka Martin, K9 Toddlers, its employees, volunteers and other associates from any and all claims due to damage, liability or expense, including legal costs and attorney fees, which my pet may cause to any family members, pets or property of any third parties during or after training. I agree that I, as owner of the above dog, am solely responsible for the animal's behavior and physical control and agree to carefully monitor and control my dog at all times.

I have carefully read this entire agreement and fully understand its contents. I am aware this is a Release of Liability and a binding contract form between myself, K9 Toddlers. I agree that, by signing this registration, I am legally obligated to pay the full amount and in timely manner for this training class. I acknowledge that no refund of payment will be paid for classes fail to attend. I sign it on my own free will.

I agree to the terms