Registration

Exceptional Dog Training

www.stlexceptionaldogtraining.com
Janice Brennan: 314-330-8052 - janicebrennan@mac.com
Amy Woolston: 314-341-8663 - amywoolston118@gmail.com

Please complete all 4 forms below and click on submit when finished.
Or, if you prefer to fill this form out on paper, click here to print the blank forms.

Class Registration Form

* Indicates required field

Name *

First

Last

Phone: *

Email *

Address *

Zip *

Dog's Name *

Breed *

Age *

Payment Information
We will collect your cash, credit card information or check at the first class.

Please select the class you want to attend:

S.T.A.R. Puppy Class *

Tricks/Games *

Beginning Adult *

Advanced/Therapy Dog *

Nose Work *

Patio Class *

Shot Record Confirmation

I confirm that my dog (named above) has been vaccinated for the age appropriate shots (RABIES, DHLPP, BORDETELLA) and these shots can be confirmed by my veterinarian or veterinarian clinic.

Veterinarian/Vet Clinic Name *

Your Name *

Veterinarian/Vet Clinic Phone Number *

date *

Release of Liability from Harm

I agree to the following items regarding my involvement with Brennan & Woolston Dog Training.
TERMS OF RELEASE OF LIABILITY

I accept full responsibility for any actions by myself during the course of any activity I participate in with Brennan and Woolston Dog Training, in accordance with the standards set forth by local and state laws governing such liability issues.
I accept full responsibility for any actions that I as an individual may be involved with that are not in accordance with these standards.
I agree to hold harmless Brennan & Woolston Dog Training in the event that I am involved in any unusual incident while participating with Brennan & Woolston Dog Training. This includes any action that may cause harm to another individual, dog, or property while performing any activity.

Dog's breed *

Your name *

signature (Please type your name) *

date *

Media Release Form

I grant permission to Brennan and Woolston Dog Training to use my image (photographs and/or video) for use in Brennan and Woolston Dog Training publications including videos, email blasts, newsletters, and magazines and to use my image in electronic versions of the same publications or on the Brennan and Woolston Dog Training website or other electronic forms of media.

I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

Please check the paragraph below which is applicable to your present situation: *

I am 20 years of age or older and I am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. I am the parent or legal guardian of the below named child. I have read this release before signing below and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

date *

name *

signature (Please type your name) *

Signature of parent or legal guardian (if under 20 years of age) *

Submit

Exceptional Dog Training

Class Registration Form

Please select the class you want to attend:

Shot Record Confirmation

Release of Liability from Harm

Media Release Form

BRENNAN & WOOLSTONExceptional Dog Training

BRENNAN & WOOLSTON
Exceptional Dog Training