|Cathy Johnston’s Dog Training Center
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
As a condition of applying to this training center I agree to hold harmless this establishment, it’s
employees, it’s clients and affiliates (Happy Tails & The Ultimate Dog) 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. Cancellation of any private lesson or set appointment must be made
24hrs. in advance to avoid loss of lesson. I have read and understand the above release of liability.
Signature: ________________________________________ Date: _____________
To print please click on link:
Client Information Form
|Cathy Johnston's Dog