MINNESOTA K-9 SOLUTIONS
Canine Behavior & Obedience Training Program
Application
Please Print Clearly
Owner's Name:______
Address:______
City: ______State: ______Zip: ______Phone:______
E Mail Address______
Dog Breed: ______Pet's Name: ______Age:______M/F
The training in which you will be attending, can be completed on the training log as you go. You will be provided with a training log after you sign up..
Starting Date: ______Time: ______
Who were you referred by:
What are your expectations or goals for your dog?
______
______
STEP ONE:
All classes are $20.00 per1-hoursession. A one-time $40.00 Behavioral Assessment is required in order to reserve future training sessions. After completing this application, copy and paste it as a word document and e-mail it as a word document attachment to
STEP TWO:
After E-mailing your application, Mail a Check or Money Order For $40.00 Made Out to Minnesota K-9 Solutions LLC. Rod Bombalier will call you to arrange a day for your dog’s Behavioral Assessment. Our Mailing address is:
Minnesota K-9 Solutions
10761 Bush Lake Road Circle
Bloomington Minnesota 55438
Due to the limited amount of private training slots, and the low costs involved, we do not provide refunds
Release of Liability and Hold Harmless Agreement
By signing this release, I acknowledge and understand the intent of the training services provided I hereby agree to absolve and holdharmless Minnesota K-9 Solutions, their agents, officers, owner, and staff trainer Rod Bombalier and any other parties connected with the services being provided in anyway, singly or collectively, from and against any blame and liability for any injury, misadventure,harm, loss, negligence, wrongful death, inconvenience or damage of property hereby suffered or sustained as a result of participation in the training services or any actions therewith. I hereby consent to and permit emergency treatment forillness or injury and assume all financial obligations resulting there from.
Signature: ______Date: ______
Print Name: ______
Signature of Parent (if under 18 years of age): ______