Registration Form

Registration: Dog Training l Class (06-09-2016 - 01-01-2018 )

Thank you for registering for our Dog Training l Classes. Please remember this class is for dogs 20 weeks or older. Your dog needs to be comfortable in a group setting with other dogs in class.

Dogs that are aggressive towards people, dogs that cannot safely be controlled on-leash in close proximity to other dogs, and dogs that are unable to stop barking at other dogs for the duration of class are not permitted in class.

Discount Code:
First Name:
Last Name:
Phone (Day):
Phone (Evening):
Preferred Contact:
Contact Email:
Pet Name:
Pet Age:
Requirements (If you can not check all of these, please contact Michelle Livanos at 838-0413 x 164 for assistance.):
My dog is not aggressive towards people.
I can safely control my dog on-leash in close proximity to other dogs.
My dog does not have a history of uncontrollably barking at other dogs.
Pet Breed/Mix:
How long have you owned your pet?:
Any food allergies?:
Your pet must be up to date on the following vaccinations. Please check all that your pet is current on. :
Rabies (if age appropriate)
Your pet must have a negative fecal test dated in the last 6 months. Has one been completed?:
Monday Session:
January 8 - February 12
February 26 - April 2
Tuesday Session:
January 16 - February 20
March 6 - April 10
Thursday Session:
January 25 - March 1
March 15 - April 19
I understand that Puppy and Dog Training class fees are nonrefundable. I certify that my pet is current on his or her vaccinations for Bordetella, Rabies, and Distemper, and is currently on a flea prevention program. I also certify that to the best of my knowledge my dog is free of parasites, internal and external, and free of communicable diseases. I agree to NOT BRING my dog to the building or grounds of Dane County Humane Society if I know or suspect that my dog is ill. If my dog is too young to have been given all of these vaccinations, they will be administered at the appropriate age. I will keep my dog current on all such vaccinations, titers or other vaccine-related recommendations made for my dog by my veterinarian, while attending Dane County Humane Society’s classes. I understand that being around dogs and participating in activities at Dane County Humane Society involves risk of injury to my dog and me. In consideration for being allowed to participate in classes and other dog training activities, I accept these risks. I accept full responsibility for the acts of myself, my dog, and my guests while attending these classes. I understand that Dane County Humane Society cannot be held responsible for any injury caused by me or my dog, or to me or my dog, and I release Dane County Humane Society, its employees, members, and volunteers from all claims of liability, for injury, disease or damage that I, my guests, or my dog may suffer or cause while on the grounds of Dane County Humane Society. I also agree that Dane County Humane Society may photograph or video my participation in any of the dog or puppy training classes and I hereby release any such photographs and/or videos to Dane County Humane Society for its use in programs, publications and other purposes.
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