CGC Training Application
You may hand deliver/mail/email this completed form. Proof of vaccination required to complete application
102 W. Redbud Drive, Stillwater, OK 74075
Email: firstname.lastname@example.org Phone:405-747-6053
Please read and check off each of the following before completing the form below:
[ ] I have read, completed, and understand the required Application for the CGC training to be held at: ______________________________________________________________________________________________________________________________
[ ] I have provided the required proof of vaccination for each of my pets.
[ ] I understand that I am solely responsible for myself, my pet(s), my children, guests and all personal belongings while on the property for the CGC training.
Owner’s Name: _______________________________
Class: _________________________ Start Date: _____________
City: ______________ State: _________Zip: ____________
Home #: __________________________
Cell #: ___________________________
Best Contact #: ___________________
Pet’s Name: _______________________________________
Breed: _____________________________ Dog’s age: ____________
Dog’s Sex: [ ] Male [ ] Female [ ] Spayed/Neutered Color: ____________________________ DOB: __________________
Does your dog have any physical limitations/medical problems? [ ] YES [ ] NO
If yes, please list here: _______________________________________________________________
Has this dog attended an obedience class before? [ ] YES [ ] NO If so, what level? ________________________________
Have you attended an obedience class before? [ ] YES [ ] NO If so, what level? ___________________________________
What do you want to accomplish in this class? ____________________________________________________________
All dogs handled by a minor must have prior approval from instructor. Child must weigh at least double the dog’s weight in order to control dog. Children must be supervised through entire class. We reserve the right to request an adult take over training if child is unable to safely handle dog. Parents and/or Guardians Initials __________
Check your schedule to ensure there are no conflicts, elective surgeries for your pet, vacations, etc.
I want to see you and your pet succeed with these training classes. Practice at home is important and will ensure that you and your pet are successful. Please practice at 15 minutes per day with your pet.
***I understand that I am solely responsible for myself, my pet, my children, guests, and all personal belongings while on said property.***
Missouri Pet Breeders Association
313 B West Commercial
Lebanon, MO 65536
Kathleen Monks email@example.com
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