Canine College Enrollment Form

Canine College Enrollment Form - 2007

Complete, print and sign this form.
Attach your check made payable to Pets In Need.
Mail to the following address:
Pets In Need
873 Fifth Avenue
Redwood City, CA 94063

Don't forget: ALL BEGINNING & PUPPY ORIENTATION CLASSES ARE HELD RAIN OR SHINE! Bring a chair, pen, paper.

Beginning	Puppy	Interm. I	Interm. II
Advanced I	Advanced II	Rally/CGC

Winter

Spring

Summer

Fall

Saturday Mornings

Monday Evenings

Specify time of Intermediate Class on Saturdays:

8:30-9:30 AM

9:30-10:30 AM

Your Name:
Address:
City:	Zip:
Phone:

Dog's Name:
Breed:	Age:
Sex:	Is neutered / spayed? Yes No

Waiver: Intending to be legally bound, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims against the persons and organizations affiliated with Pets In Need Canine College. I further attest that I am physically fit and able to participate in this program.


______________________________________________  _____________________
Your Signature                                                                                    Date