Today's Date
Your Full Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
Work Phone
Home Phone
Cell Phone
E-mail
Dog's Name
Dog's Age	Dog's Sex Male Femaile   Breed

Were you referred by the Greater Miami Dog Club?    (Yes or No)  

Please select the class that your dog will be attending:

Class

Puppy Primer Conformation/Show Handling Basic Obedience Advanced Obedience Custom Training (By Appointment Only)

"IMPORTANT"
 

By signing the following, you understand that you are responsible for your actions and those of your dogs while you and your dog are on FPL property located at SW 92 Avenue and between 1^st and 3^rd street. Furthermore you understand that you are responsible for any injuries or accidents caused by you or your dog, including accidents or injuries to yourself. By signing this statement you are hereby freeing FPL and Professional Canine Services Inc. of any responsibility for any damages caused by you or your dog or that you sustain while attending dog training at this location on the date stated below or there after.

 

____________________________                                                _____________________
Signature                                                                                                                 Date

Print this form and bring it with you signed on the
first day of class

  Methods of payment accepted: Cash, Check, Visa and MasterCard. 
            Payment is due in full on the first day of class.                 
                   No refunds after first night of training.