NORTH FORK
SCHOOL FOR DOGS
Positive Methods with Positive Results
GROUP CLASS REGISTRATION FORM
1120 Bridge Lane Cutchogue, NY 11935 Phone: (631) 734-8331
Name: __________________________________ Email Address: _____________________________________
Cell Phone: (_____) _________________________ Home Phone: (____) _______________________________
Address: __________________________________________________________________________________
Dog’s Name: ______________________________Breed: ___________________________________________
Dog’s Age: _______________ Male � Female �
Spay/Neuter: Yes � No �
Vet’s Hospital: ___________________________________________Vet’s Phone: (____) ___________________
How did you hear about us? ___________________________________________________________________
 YES NO
May we use photos of you and your dog for our marketing purposes?
Please check the class you would like to attend:
6 WEEK CLASSES
$130/$120 Shelter Dogs (includes NYS Sales Tax)
 AKC S.T.A.R. Puppy
(8 wks-6 mos)
 Elementary School Obedience
(6 mos & up)
 Canine Good Citizen
(6 mos & up)
 Junior High Obedience
(6 mos & up)
 Senior High Obedience
(6 mos & up)
 Get Ready for Rally
(6 mos & up)
4 WEEK CLASSES
$90/$80 Shelter Dogs (includes NYS Sales Tax)
 Manners Please
(6 mos & up)
 Total Recall
(6 mos & up)
 The Pull Stops Here
(6 mos & up)
 Clicks and Tricks
(6 mos & up)
OTHER CLASSES
$25/$20 Shelter Dogs (includes NYS Sales Tax)
 TAYL (Train As You Like) Thursdays
All checks can be made payable to: North Fork School for Dogs. The class will meet once a week for approximately 1 hour. Group class fees must
be received on or before the first day of class. Please make sure you can attend all classes, as make-up classes are not available.
Class Fee: $_________________2nd Dog: $_______________Subtotal: $___________ Total: $______________
RELEASE OF LIABILITY
I,
(Owner’s
Name)_________________________________________,
as
the
legal
owner
of,
(Dog’s
Name)
____________________________________do hereby waive and release North Fork School for Dogs from any and all liabilities of any
nature. I agree to take complete responsibility for the actions of my dog, and myself, before, after and during class, and on and off site
premises. At no time will the instructor of this class be liable or responsible for the my actions, my dog’s actions or any other person who
accompanies me to class. I understand that dog and human behavior can be unpredictable, and I understand that the education and
obedience classes I receive from North Fork School for Dogs are not guarantees of my or my pet’s present or future behavior.
Owner’s Signature: _________________________________________ Date: ________________
Trainer’s Signature: _________________________________________ Date: ________________