Sunshine Kennels & K-9 Training
2019-100th Street, Luck, WI 54853
(715) 857-5095
APPLICATION FOR TRAINING /Group or Private ~ T or S ~ PM B I A Tracking
(Please Print) Handler Information
Name: ______Age: ______Phone: ______
Email:______Cell:______
Address: ______City: ______Zip______
Dog Information
Breed: ______Name: ______Age: ______Sex______
Last Vaccination Dates ~ Rabies: ______DHL Combo: ______
Veterinarian: ______City______State: ______
Briefly state what you hope to accomplish:
AGGREEMENT TO HOLD HARMLESS WAIVER AND ASSUMPTION OF RISK I understand that attendance of a dog obedience training class is not without risk to myself, member’s of my family or guests who may attend, or my dog, because some of the dogs to which I 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 Sunshine Kennels, it’s employees, officers, members, and volunteers, from any and all liability of any nature, for injury or damages which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function of Sunshine Kennels, 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 by Sunshine Kennels, I hereby agree to indemnify and hold harmless Sunshine Kennels, it’s employee’s, officers, members, and volunteers from any and all claims by any member of my family or other person accompanying me to any training sessions or function at Sunshine Kennels, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.
If any dog becomes ill and/or will be endangering other dogs or persons, the dog will be dismissed at the sole discretion of Sunshine Kennels.
The fee of $______will be paid by the end of the first training session or the handler will not be permitted into the next training session. ABSOLUTELY NO REFUNDS.
Name of Owner:______Date: ______
Address: ______Phone: ______
Signature of Owner (In case of a minor, a parent or legal guardian must sign).
X______Proof of Vaccinations_____ Paid ~ Check______Cash_____ Date ______Rec. by______