From PET to PERFORMANCE & Back Registration Form HANDLER NAME: ADDRESS: PHONE: EMAIL: DOG NAME: BREED: AGE: SEX: M F SPAY/NEUTER: Y N LAST VACCINATION DATE/TYPE: HANDLERS PRIOR TRAINING EXPERIENCE:

WHAT DIFFICULTIES/PROBLEMS ARE YOU HAVING WITH THIS DOG?

WHAT ARE YOUR GOALS FOR THIS SEMINAR?

This seminar is limited to 16 working spots (Handler and Dog) and 10 Audit spots. Contact [email protected] or 509-710-8939 for availability. Please indicate which you are registering for: WORKING: $175 AUDIT: $50 Return with payment to: Chandrea Farms, LLC, P.O. Box 1344, Newport, WA 99156 Refunds only if weather/circumstances do not allow presenter to appear. Checks may be cashed upon receipt.

CHANDREA FARMS, LLC & HYLINE HOTEL & TRAINING FOR DOGS, LLC AGREEMENT FOR TRAINING I UNDERSTAND THAT ATTENDANCE OF A DOG Obedience training class is not without risk to myself, to members of my family or guests who may attend, or to my dog(s), because some of the dogs to which I will be exposed may be difficult to control, and may be the cause of injury, even when handled with the greatest degree and amount of care. I AGREE TO HOLD THE INSTRUCTOR(S) HARMLESS for any claims for any loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of my dog while in or upon the training area, or near the entrance thereto, and I personally assume all responsibility and liability for any such claim; I further agree to hold the aforementioned party(ies) harmless for any claim for damage or injury to my dog, whether such loss, theft, disappearance, damage or injury be caused or be alleged to be caused by the negligence of the aforementioned party, or by the negligence of any other person, or any other cause or causes. I further agree that this Agreement is binding for this and any subsequent classes that I attend. I AM ALSO VERIFYING by signature that my dog(s) are current on all vaccinations, including but not limited to Parvo, distemper and Rabies, whether I have had them administered by a veterinarian or by myself.

SIGNATURE OF OWNER OR AUTHORIZED AGENT DATE