90 Danbury Road
New Milford, CT 06776
Class: Puppy Kindergarten Class - 08/25/2012 at 9:15 am ______________
Basic Pet Obedience Class – 08/25/2012 at 10:30 am ___________________
Advanced Obedience Class - 08/25/2012 at 11:45 am ______________________
Basic Pet Obedience Class - 08/21/2012 at 6:00 pm ______________________
All classes are $125 + $7.94 sales tax (total $132.94) for a 6-week session. Each
session is 50 minutes. If paying by check, please make check out to Unleashed!
Owner’s Name _________________________________________________________
City____________________________ State _______________ Zip Code _________
Phone (H) __________________ (W) __________________ (Cell) ________________
E-mail address _______________________________________________________
Dog’s Name __________________________________________________________
Dog Birth date ________________________________________________________
Predominate Breed _______________________ Color _________________________
Sex ________________________ Spayed or Neutered? _______________________
Does your dog have any food restrictions ? Y N
If Yes, what? ________________________________________________________
Date of latest vaccination against Rabies (16 weeks old +) _______________________
Date of latest vaccination against Distemper/Parvo (DHPP) ____________________
(please attach your most recent vaccination record from your veterinarian)
Bordetella vaccine is recommended but not required.
Has your dog ever bitten or growled at a person? ___________________If yes, please explain
RELEASE & HOLD HARMLESS
During my participation and in consideration of admittance to classes conducted by Christina Hilliard
of Gentle Persuasions, I hereby RELEASE, DISCHARGE, and HOLD HARMLESS Unleashed! Doggie
Daycare LLC, it’s officers, owners, members, employees and agents and Christina Hilliard of
Gentle Persuasions, from any and all claims, suits or liability and all hazards and risks that are
involved and inherent in Dog Training. Furthermore, I consent to HOLD HARMLESS Unleashed!
Doggie Daycare LLC, its officers, owners, members, employees and agents and Christina Hilliard
of Gentle Persuasions, from any claims, damages, injuries or losses arising from my own negligence
while a participant of training classes conducted by Christina Hilliard of Gentle Persuasions. I
understand that this assumption of risk and release is binding upon my heirs, executors,
administrators, and assigns and includes any minors accompanying me to classes conducted by
Christina Hilliard of Gentle Persuasions at Unleashed! Doggie Daycare LLC .
I understand that NO VIDEOTAPING is allowed during class, and no photography without prior
permission of the instructor.
I understand that my payment to register for the session is non-refundable, even if I am unable to
complete all of the scheduled classes.
NOTE: Class sizes are limited to 7 dogs. Registration is on a first
come-first serve basis. Please send the registration papers and check
to Unleashed! at 90-B Danbury Road, New Milford, CT, or call
Unleashed! at 860-799-7979 to pay by credit card as soon as possible
to reserve your spot in class.
WHAT TO BRING TO CLASS:
4’ – 6’ Leash (No retractable leashes please) and lots of soft/chewy treats your dog
likes, Please be sure your dog is hungry when arriving at class. Please wear
No prong or choke collars. Buckle or martingale collars are appropriate for these
Please keep your dogs on leash, at least 4 feet apart from other dogs unless otherwise
Please be on time for classes! It is very disruptive for the
rest of the class when dogs come late to class!!