Dog Training Registration

Name *
Name
Address *
Address
Phone *
Phone
Dog's Information
Dog’s Date of Birth *
Dog’s Date of Birth
A health certificate is required for all new dogs before their first session. A copy of the veterinarian’s receipt is acceptable.
Veterinarian Address: *
Veterinarian Address:
DHLPP Shot Date *
DHLPP Shot Date
Rabies Shot Date *
Rabies Shot Date
Home Information
Training Needs
Please indicate which class you are registering for: *
Beginner's Obedience Class
Class Information
I understand that attendance of a dog obedience training class is not without risk to myself, members of my family, or guests who may attend, or my dog. I hereby waive and release Wright-Way Rescue, its employees, officers, members and agents from any and all liability of any nature, for injury or damage 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 Wright-Way Rescue, 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 Wright-Way Rescue, I hereby agree to indemnify and hold harmless Wright-Way Rescue, its employees, officers, members, and agents from any and all claims, or claims by any member of any family or any other persons accompanying me to any training sessions or functions at Wright-Way Rescue or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own. Wright-Way Rescue is not liable for any veterinarian bills that might occur during training. The owner of the dog is liable for any serious injury to Wright-Way Rescue Staff or Assistants.
Today's Date *
Today's Date
Photo, Video Release
I hereby grant Wright-Way Rescue, the absolute right and permission to use any photograph(s) and/or video(s) of me in its promotional materials, publicity efforts, marketing campaigns, and fundraising goals. I understand that the photograph(s) or video(s) may be used in a variety of forms: print (publication, ad, postal mail piece), electronic media (video, CD-ROM), social media (Internet, website, Facebook, Twitter, Instagram, etc.), or other forms of promotion. I release the Wright-Way Rescue, the photographer, administrative team, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use. I am 18 years of age or older.
Today's Date
Today's Date
Minor Model Release
For valuable consideration I hereby give Wright-Way Rescue and its designated photographer the absolute and irrevocable right and permission with respect to the photographs that he/she has taken of my minor child in which he/she may be included with others: a) To copyright the same in the photographer’s name or any other name that he/she may select; b) To use, re-use, publish and re-publish the same in whole or in part, separately or in conjunction with other photographs, in any medium now or hereafter known, and for any purpose whatsoever, including (but not by way of limitation) printed material connected to Wright-Way Rescue, illustration, promotion, advertising and trade, and; c) To use my name or my child’s name in connection therewith if he/she so decides. I hereby release and discharge Wright-Way Rescue and its designated photographer
from all and any claims and demands ensuing from or in connection with the use of the photographs, including any and all claims for libel and invasion of privacy. This authorization and release shall inure to the benefit of the legal representatives, licensees and assigns of the photographer as well as the person(s) for whom he/she took the photographs. I have read the foregoing and fully understand the contents hereof. I represent that I am the [parent/guardian] of the named model below. For value received, I hereby consent to the foregoing on his/her behalf.
Minor's Name
Minor's Name
Parent or Guardian Name
Parent or Guardian Name
Today's Date
Today's Date
Credit Card
You will not be charged until the first week of class.