DarnFar Ranch

Please select the class date for Brownstown Location:

January 16 - March 6
March 13 - May 1
May 15 - July 3
July 10 - August 28
September 18 - Nov 6
November 1  - Dec 20 (this is a THURSDAY night class)

April 12 - May 31 (Newton Location Only)

 

Please provide the following contact information:

First Name
Last Name
Alternate Handler
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
E-mail

Please provide the following information about your dog:

Dog's Name
Age
Sex	Male Female
Breed

Spayed / Neutered?

Yes
No

Please provide the following Veterinary information:

Veterinarian's Name
Business / Office name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Vet's Phone

All dogs entered in the class must have proof of inoculations to Rabies, Distemper/Parvo (DHLPP).  Bordetella (Kennel Cough) is optional.   Please provide the expiration dates on this form and bring a copy of your dog's records to the first night of class.

Date Rabies Vaccine expires:

-- mm/dd/yy

Date Distemper/ Parvo expires:

-- mm/dd/yy

Bordetella (Kennel Cough) expires - optional:

-- mm/dd/yy

Has this dog ever bitten anyone?

Yes
No

If yes, please explain:

Have you ever trained a dog before?

Yes
No

Briefly describe what you hope to gain from this class:

How did you hear about DarnFar Ranch dog training?

Vet              Groomer          Flier            Friend         
Kennel           Newspaper ad     Radio ad         Internet search
Other            

You will be required to sign the following waiver.

I understand that participating in training class has some risk of injury to myself and my dogs(s). I consent and willingly agree to assume any and all risks involved in dog training, including any type of accident, damage or any personal bodily injury to myself, or to my dog, friends or family members I might have brought to class. I further agree that I will hold Tammie and Robert Rogers harmless and defend them from any and all liability for any injury, claim, damage or loss of whatever kind, which may be caused by me or any dog or family member I have brought to DarnFar Ranch or other training locations where classes are administered by Tammie Rogers. I certify and represent that my dog(s) are currently inoculated against communicable canine diseases and are free of communicable parasites. I certify and represent that that the dog(s) I bring to training class are not a hazard to other dogs or people.

Do you agree?

Yes
No