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To Register for Class...
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Please make sure to fill out this form completely and highlight which
class you are registering for. Use your tab key to move between
fields, as hitting the enter key will submit the form. You will be
contacted by email to arrange for payment (credit cards now accepted!).
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First Name:
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Last Name:
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Dog's Name:
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Breed:
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Dog's Age or
date of birth:
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Gender,
spayed/neutered:
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Address:
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City, State,
Zip
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Ph. Number:
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Email:
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Veterinarian:
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Date of last
vaccinations:
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Referred by:
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Coupon code:
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Please select the class you are registering for:
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Please tell a little about the type of training you've already done with
your dog, what problems you're experiencing, and what you hope to
gain from this class.
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A $50 deposit is required to hold your spot in a group class
(refundable or transferable if the class is canceled) - you may mail in
a check to PO Box 1242, Glendale, AZ 85311, or you may pay by
credit card below (Mastercard/Visa/Discover). Please note in box
above if you are mailing your deposit - your spot will be reserved
when we receive your deposit. Your card will be charged and you
will be emailed a receipt within 48 hours. The remaining $50 is due
the first night of class. (Billing address for card must match the
address above.)
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Credit Card Number:
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Expiration date:
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V-code (from back
of card):
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Name on card:
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Amount to be charged:
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I wish to enroll my dog in an obedience class taught by Maverick Dog
Training. I understand that my dog must be current on vaccinations
according to my veterinarian's recommendations and will be able to
show proof of vaccinations upon request. I do hereby waive and
release Maverick Dog Training from any and all liability of any nature.
This includes any injury, death, sickness, or damage my pet may
cause to any family members or any third party during and after
training. I understand that payment is due in full at the start of the
first class. Payment can be made by cash, money order, personal
check, or Mastercard/Visa/Discover. Refunds are not available, as
the success of my dog is based primarily on my willingness and
ability to work with my dog 15-20 minutes per day. By checking the
box below, I understand and agree to all terms and conditions set
forth above and have completed this form to the best of my
knowledge.
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I agree to the above terms and conditions.
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