| Cathy Johnston’s Dog Training Center Client Information Owner’s Name: ________________________________________________________ Mailing Address: _______________________________________________________ Residence Phone: _____________________ Day Phone: _____________________ Occupation: ________________________ E-mail address: _____________________ Dog’s Name: ______________ Breed: ___________ Age: _______ Sex: _______ Is He/She altered: ________ Who is Your Veterinarian: _______________________ How Did You Hear of Our Training Center? Yellow Pages Newspaper Vet Kennel Other ______________ Which Of The Following Problems Are You Experiencing With Your Pets Behavior? Barking, Straying, Housebreaking, Biting, Jumping, Digging, Chewing, Aggression, Not Coming, Pulling on the Leash What Do You Most Want To Accomplish With Your Pet? ________________________ Have Your Trained Any Where Else? Self Professional Which Of The Following Specialty Training Events Would You Be Interested In? Obedience Trials, Show, Field & Sporting, Search & Rescue, Herding, Tricks, Agility, Protection Please Note: As a condition of applying to this training center I agree to hold harmless this establishment, it’s employees, it’s clients and affiliates (Nauset Kennels) from personal injury and loss due to the inherent risks of animal training. I further authorize this establishment to bill me for unpaid services over 30 days at 18% per year. Any check that does not clear will be charged any and all bank accrued fees. I also acknowledge that there are no guarantees and no refunds, only credits will be given and that this center may terminate my membership at any time for conduct that may convey a bad image to this training center. I have read and understand the above release of liability. Signature: ________________________________________ Date: _____________ To print please click on link: Client Information Form |
Client Information Form
| Cathy Johnston's Dog Training Center 508-259-1911 or americank9@comcast.net |
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