CALL 816-799-6760
skip@daigerdogtraining.com

EXPERT, CERTIFIED DOG TRAINING IN KANSAS CITY AND SURROUNDING AREAS

 

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*Required fields
I AM REGISTERING FOR THE FOLLOWING SESSION:
First Name*:
Last Name*:
Address:
City:
State:
Zip:
Home Phone*:
Cell Phone:
E-Mail:
We prefer to be contacted by: Phone Email Either
How did you hear about us?

Name of Dog:
Breed/Type:
Age (yrs/mos.): DOB:
Gender:
Approximate Size of Dog:
Where obtained? How long owned?
Your Veterinarian
or Veterinary Clinic:
Vet Phone:

Is your dog current on vaccinations? Yes No
Has your dog ever exhibited any form of aggression toward:

PEOPLE: No Moderately reactive Yes(explain):
DOGS: NoModerately reactive Yes(explain):
OTHER: No Moderately reactive Yes(explain):
Is your dog reactive (barking, lunging) near other dogs? No Slightly reactive     Yes
(explain):
Can you control your dog when around other dogs? No Moderate Control Yes
(explain):
Has your dog ever bitten a person? Yes No
Has your dog bitten another dog? Yes No
Do you have concerns about your dog's ability to participate in class? Yes No
What is your main reason for taking this class?

IMPORTANT INFORMATION – PLEASE READ COMPLETELY

Health Requirements:All adult dogs (older than 5 months) must have current Distemper (Rabies) and Parvo vaccinations. Bordetella is recommended but not required. Puppies (5 months or less) must be at least started on a vaccination shot series.

Please check ALL vaccines that your dog is current for:
Rabies Distemper (Rabies and Parvo Bordetella Leptospirosis

Please select the current set of shots your puppy has completed:
None     1st set      2nd set      3rd set      4th set     Other:

MISSED CLASSES:T here are no scheduled make-up classes. If you miss a class, we will try to work with you as best we can to help you get caught up. In some circumstances we are able to do make-up classes at our discretions and convenience. If you are going to miss a class, please contact your instructor as soon as you can.

WITHDRAWALS & REFUNDS: If you must withdraw from a class, a full refund will be issued as long as a request for withdraw is mad directly to Daiger Dog Training, LLC no less than 48 hours before the start of the scheduled session. “No shows” without notice will not be refunded under any circumstances. After the session has started, no refunds will be given. In special situations, tuition may be transferred to another class at the sole discretion of Daiger Dog training, LLC.

PICTURES, IMAGES & VIDEO: I am aware of and I accept that my and/or my dog’s picture or video may be taken during the session and that this media becomes the full property of Daiger Dog Training, LLC.

TRAINING SERVICES PROVIDED: I understand and agree that Daiger Dog Training, LLC will make every effort to provide contemporary animal behavior training knowledge and skills in order to help students (humans and dogs) achieve their training goals. It is understood that successful companion dog training programs depend on a combination of learned skills on the part of owners and their dogs. Daiger Dog Training makes no guarantees of performance on the part of the owner or pet as a result of providing training.

WAIVER, ASSUMPTION OF RISK AND AGREEMENT OT HOLD HARMLESS: I (the undersigned) understand the educational purposes intended through Wayside Waifs Companion Training Solutions and Daiger Dog Training, LLC, and in consideration of being allowed to participate in the training classes being offered by Wayside Waifs and Daiger Dog Training LLC, hereby agree on behalf of myself, my spouse, heirs, legal representatives, assigns, guests, invitees and my insurer that: I am fully aware and acknowledge that training can cause stress in dogs and that they training will be done in the presence of other persons and animals. I am fully aware of the risks and dangers involved and hereby accept full responsibility for any and all risks of bodily injury to myself, my dog, or to any other person and/or animal which results from the attendance and participation in such training. I hereby releases Wayside Waifs and Daiger Dog Training LLC, their officers, agents, directors, employees, representatives, other enrollees, and the instructor/trainers from any and all claims, demands, expenses, and liability whether from personal injury, death, property damage, violations of law which is caused by the undersigned and which in anyway arises out of or relates to a function or activity of Wayside Waifs Companion Training Solutions or Daiger Dog Training LLC.

PAYMENTS/TUITION: A deposit ($25) or payment in full is required to reserve your space in this class. If you are registering online, we will offer a (5%) discount if paid in full in advance of the class. If you pay a deposit online, the balance of the tuition will be due at the very first class. Payments during the first class can be made by check (payable to “Skip Daiger”) or by cash..

BY ENTERING YOUR FULL NAME BELOW AND CLICKING “SUBMIT”, I CONFIRM THAT I HAVE READ AND AGREE TO ALL THE ABOVE:
Full Name*:

 

 

 

Daiger Dog Training, LLC

Skip@DaigerDogTraining.com

504 West 116th Street - Kansas City, MO 64114 - Office: (816) 943-6539 - Cell: (816) 799-6760 - Fax: (816) 943-6539

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