TEAMWORKS DOG TRAININGÒ CLASS APPLICATION 2007
Teamworks Dog Training Classes – 2008
· To Register: Pre-registration is required. Classes fill quickly, sizes are limited! Class registration closes 3 days prior to start date.· PLEASE NOTE: We offer online registration at http://216.154.216.175/cgi-bin/menu.pl . Please register online and use the option pay by check if you wish. If you do not have internet access, please call our office at 919-855-0422 to sign up for a class. Your slot is not guaranteed in the class until your online registration is received and the class is paid for.
· After we have received your online registration and payment, you should expect to receive an email confirmation letter, no later than least two days before the class begins. If you do not receive a confirmation letter, please call 919-855-0422.
· We offer 10% off for dogs participating in our classes and seminars who were adopted from an animal shelter or rescue group. We also offer package deals.
· This form is for informational purposes only. Please circle one and indicate a second choice for CGC & Puppy classes. The first night of class (orientation) is mandatory for CGC & Puppy classes. You will not be guaranteed a slot in a class until this application is entered online by our staff and payment is received. If you do not have an email address, we will mail a paper confirmation letter to you.
** NORTH RALEIGH ** CLASSES
CLASS / DAY / TIME / WK / $ / CALL 919-855-0422 FOR CLASS START DATES or see http://216.154.216.175/cgi-bin/classes.pl
PUPPY CLASS / TUES / 12:30-1:30 pm / 7 / $125 / January / March / May / Aug / Oct
PUPPY CLASS / WED / 7:30-8:30 pm / 7 / $125 / January / March / June / Aug / Oct
PUPPY CLASS / SAT / 9:00-10:00am / 7 / $125 / January / March / June / Aug / Oct
PUPPY CLASS / SAT / 1:30-2:30 pm / 7 / $125 / January / March / June / Aug / Oct
PUPPY CLASS / SUN / 6:30-7:30 pm / 7 / $125 / January / March / June / Aug / Oct
PUPPY AGILITY / WED / 6:30-7:30 pm / 7 / $125 / January / March / June / Aug / Oct
PUPPY AGILITY / TUES / 1:30-2:30pm / 7 / $125 / January / March / June / Aug / Oct
PUPPY AGILITY / SAT / Noon-1:00 pm / 7 / $125 / January / March / June / Aug / Oct
CGC CLASS / MON / 8:30-9:30 pm / 7 / $125 / January / March / June / Aug / Oct
CGC CLASS / TUES / 11:00am-12:00pm / 7 / $125 / January / March / June / Aug / Oct
CGC CLASS / WED / 8:30-9:30 pm / 7 / $125 / January / March / June / Aug / Oct
CGC CLASS / SAT / 10:30-11:30am / 7 / $125 / January / March / June / Aug / Oct
CGC CLASS / SAT / 3:00-4:00pm / 7 / $125 / January / March / June / Aug / Oct
CGC CLASS / SUN / 7:30-8:30 pm / 7 / $125 / January / March / June / Aug / Oct
DISTR PROOF / MON / 7:30-8:30 pm / 7 / $125 / January / March / June / Aug / Oct
DISTR PROOF / SAT / 4:30-5:30pm / 7 / $125 / January / March / June / Aug / Oct
DISTR PROOF / SUN / 8:30-9:30 pm / 7 / $125 / January / March / June / Aug / Oct
MUSICAL FRSTYLE / THURS / 12:30-1:30 pm / 7 / $125 / January / March / June / Aug / Oct
MUSICAL FRSTYLE / THURS / 7:30-8:30 pm / 7 / $125 / January / March / June / Aug / Oct
ADV FREESTYLE / THURS / 8:30-9:30 pm / 7 / $125 / January / March / June / Aug / Oct
RALLY INTRO / SUN / 1:00-2:00pm / 6 / $105 / January / March / June / Aug / Oct
ADV RALLY / SUN / 2:30-3:30pm / 6 / $105 / January / March / June / Aug / Oct
CONFORMATION / TUES / 9:30-10:30 am / 7 / $125 / January / March / June / Aug / Oct
THERAPY DOG / SUN / 4:30 – 5:30 pm / 7 / $135 / January / March / June / Aug / Oct
PRE-AGILITY / MON / 6:30-7:30 pm / 7 / $125 / January / March / June / Aug / Oct
PRE-AGILITY / THURS / 11:00am-12:00pm / 7 / $125 / January / March / June / Aug / Oct
FLYBALL / THURS / 6:30-7:30pm / 6 / $105 / January / March / June / Aug / Oct
LEASH MANNERS / TUES / 8:30-9:15 pm / 4 / $ 75 / January / March / June / Aug / Oct
FEARFUL FIDOS / TUES / 6:30-7:15 pm / 6 / $145 / January / March / June / Aug / Oct
DOM DOGS / TUES / 7:30-8:15 pm / 6 / $145 / January / March / June / Aug / Oct
** CARY ** CLASSES
CLASS / DAY / TIME / WK / $ / CALL 919-855-0422 FOR CLASS START DATES or see http://216.154.216.175/cgi-bin/classes.pl
PUPPY CLASS / WED / 6:30-7:30 pm / 7 / $125 / January / March / June / Aug / Oct
CGC CLASS / WED / 7:30-8:30 pm / 7 / $125 / January / March / June / Aug / Oct
DISTR PROOF / WED / 8:30-9:30pm / 7 / $125 / January / March / June / Aug / Oct
LEASH MANNERS / MON / 8:30-9:30pm / 4 / $ 75 / January / March / June / Aug / Oct
DOM DOGS / MON / 7:30-8:30pm / 7 / $145 / January / March / June / Aug / Oct
FEARFUL FIDOS / MON / 6:30-7:30 pm / 7 / $145 / January / March / June / Aug / Oct
** YOUNGSVILLE AGILITY & FLYBALL ** CLASSES
CLASS / DAY / TIME / wk / $ / CLASS START DATE
BEG-AGL / THURS / 9:00-10:00am / 6 / $105 / May / July / Sept
BEG-AGL / THURS / 3:00-4:00 pm / 6 / $105 / Jan / March / Nov
BEG-AGL / THURS / 6:30-7:30 pm / 6 / $105 / Feb / April / June / Aug / Oct
INT-AGL / THURS / 10:00-11:00am / 6 / $105 / May / July / Sept
INT-AGL / THURS / 4:00-5:00 pm / 6 / $105 / Jan / March / Nov
INT-AGL / THURS / 7:30-8:30 pm / 6 / $105 / Feb / April / June / Aug / Oct
OP-AGL / TUES / 10:00-11:00am / 6 / $105 / May / July / Sept
OP-AGL / TUES / 4:00-5:00 pm / 6 / $105 / Jan / March / Nov
OP-AGL / THURS / 8:30-9:30 pm / 6 / $105 / Feb / April / June / Aug / Oct
ADV-OP-AGL / MON / 6:30-7:30 pm / 6 / $105 / Jan / March / May / July / Sept / Nov
NOV-AGL / TUES / 9:00-10:00am / 6 / $105 / May / July / Sept
NOV-AGL / TUES / 3:00-4:00 pm / 6 / $105 / Jan / March / Nov
NOV-AGL / TUES / 7:30-8:30 pm / 6 / $105 / Jan / March / May / July / Sept / Oct
EXC. AGL / TUES / 6:30-7:30 pm / 6 / $105 / Feb / Mar / May / July / Aug / Oct
OPEN AGL / TUES / 7:30-8:30pm / 6 / $105 / Feb / Mar / May / July / Aug / Oct
TRKNG INTRO / SAT / 10:00-11:00am / 6 / $100 / Jan / March / May / Aug / Oct
TRKNG INTRO / MON / 10:00-11:00am / 6 / $100 / Jan / March / May / Aug / Oct
COMP TRKNG / SAT / 9:00-10:00am / 6 / $100 / Jan / March / May / Aug / Oct
COMP TRKNG / MON / 9:00-10:00am / 6 / $100 / Jan / March / May / Aug / Oct
Class Choice: / 1st: / 2nd:
Primary handler’s name:
(Must be 18 years or older & willing to attend every class)
Assistant’s name:
(Assistant not necessary, and not a substitute for primary handler in case of absence. Assistant may be age 8-17 if accompanied by primary adult handler at all times)
Street address:
City:
Zip:
Home phone:
Work phone:
E-Mail address:
How did you hear about our classes? / Friend / Internet
Veterinarian / Event
Animal shelter / Other
If you were referred to us by someone, please list their name: (They will receive a gift certificate)
Dog's (pet’s) name:
Breed:
Dog’s Birthdate:
Male/Female:
Spayed or Neutered?
List previous classes taken with this dog and place of training:
THERAPY/AGILITY/COMPETITION CLASSES: List place & date of CGC test :
What is your goal for this class?
What is your ultimate goal for training your dog?
Has your dog ever displayed aggressive behavior toward humans or other dogs? Please check the appropriate boxes below.
o Bitten o Humans o Other Dogs
o Growled o Humans o Other Dogs
o Lunged o Humans o Other Dogs
o Bared Teeth o Humans o Other Dogs
Please note that this information is essential for instructors to have for a class situation. It is important that we understand your dog and any issues he may have, as well as knowing the issues of the other dogs that may be in the same class. / Please explain the circumstances in detail:
(Please use a separate sheet if needed)
How does your dog usually react in public places (the park, the neighborhood, the veterinary office) around other dogs & people?
Does your dog have any other special issues?
WAIVER, ASSUMPTION OF RISK, AND AGREEMENT TO HOLD HARMLESS
I understand that attendance at a dog training class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. I hereby waive and release Teamworks Dog Training and Arbor Creek Wellness & Rehabilitation Center, its officers, employees, owners, members, and agents from any injury or damage resulting from the action of the dog, and I expressly assume the risk of any such damage or injury while attending any training session or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training I hereby agree to indemnify and hold harmless release Teamworks Dog Training and Arbor Creek Wellness & Rehabilitation Center, its officers, employees, members, and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or while on the grounds or the surrounding area thereto as a result of any action of any dog, including my own.
I agree to abide by the policies of Teamworks Dog Training listed below:
¨ I have filled the class application out with information that is honest and complete.
· Domestic Dogs: Any canid that is part wild canid and that is not 100% domestic dog will not be allowed on either property.
· Dangerous Dogs: Any dog which, in the opinion of Teamworks Dog Training, is uncontrollable, unpredictable, aggressive, or in any way a danger to people will not be allowed in regular group classes and will be referred for specialty behavior classes or private consultation. A refund for the remaining classes will be given or applied to the specialty behavior class or private consultation.
· Youth: Anyone aged 7 -17 participating in classes must have a parent or responsible adult in attendance at all times. Children under 7 years of age must be accompanied by a non-participating adult at all times while on the premises. Children and visitors are welcome in any our our core classes. However, no visitors or children are allowed in Dominant Dogs or Fearful Fidos class – only adult handlers over the age of 18 may attend.
· Dogs on Leash: All dogs must remain on leash when on the premises of the training facilities and not working inside the building or the inside fenced agility ring.
· No Unsolicited sniffing: We ask all owners to be aware of their dog’s behavior while on leash. All handlers are asked to not allow their dog free access to sniff another person’s dog without asking permission of the owner first.
· Humane Treatment: Any person using the facilities of Teamworks Dog Training must agree to use humane training methods that would reflect the Teamworks Dog Training philosophy. Specifically, no shock collars will be allowed, no ear-pinching, and no harsh or inhumane treatment of dogs (including but not limited to hanging, strangling, choking, kicking, dragging, beating, hitting, striking, slamming, throwing or any other pain-inducing method).
· Clean Up : All handlers must clean up after their dogs when on the premises of the training facilities. This includes scooping all solids in either location left any place on either property. This also includes using the disinfectant spray bottles provided for all urine in the indoor location, and anywhere on the agility field, including the enclosed sand, the agility equipment, and the fence..
· Females in Heat: Female dogs in heat should not be brought on the grounds of either facility. Handlers can be re-scheduled into the next available class if this occurs without incurring extra charges.
· Refunds: Full credit/transfer/refund if Teamworks Dog Training cancels class. Full credit/transfer or refund minus 10% processing fee if client cancels 14 calendar days or more in advance of class start date. Credit/transfer/refund minus 15% processing fee if client cancels less than 14 days in advance of class start date. If client cancels after starting class, a 20% processing fee will be deducted and the refund will be prorated from the remaining amount. All cancellations must be received in writing and sent by US mail to 195 Robbins Road, Youngsville, NC 27596 or put in online at http://216.83.162.241/cgi-bin/cancel.pl.
· Class schedules subject to be changed and extended due to severe weather conflicts and due to occasional conflicts in instructor's schedule. Your instructor will notify you of any schedule changes. Severe weather related cancellations will be posted on voice mail at (919) 340-0120 box #2. Please allow an extra two weeks for class completion.
Signature of dog owner: ______Date: ______
VACCINATION RECORD
Very Important:
You must send a record of your dog's vaccinations (DHPP and rabies) along with your application. The form below is provided for your convenience; photocopies of current records are also acceptable Dogs will not be allowed to participate in classes unless proof of vaccinations or titers are on file.
All dogs taking the Teamworks Dog Training Dog Obedience classes must be vaccinated against rabies and against what is commonly referred to as the DHPP combination (canine distemper/infectious canine hepatitis/parvovirus/parainfluenza). Puppies must complete three DHPP vaccinations and their rabies vaccinations before entering the building. Adult dogs should be vaccinated yearly for DHPP and either yearly or every three years for rabies (one-year vs. three-year vaccine to be determined by a licensed veterinarian). Dogs must not be overdue for vaccinations when entering the building. Receipts and signed statements from breeders or satisfactory antibody titer levels signed by a licensed veterinarian are acceptable for the DHPP vaccine only.