Please print appplication, fill out and mail or bring in with your payment to: 1190B Liberty Square Road Boxborough, MA 01719 For a .pdf version, click Here

Class:______________________________ Day/Date:_______________ Time:________
Name:_______________________________________ Home Phone:_________________
Address:______________________City/State:_____________________Zip:________
Email:_____________________ Work Phone:______________
Occupation:_______________ Where did you hear about us?__________________
Dog’s Name:__________________ Date of birth:__/__/____ Breed:_______________
Where did you obtain your dog?______________________________
Is this your first dog? Y / N      Sex: M / F     Spayed/Neutered: Y / N
Is your dog friendly with people? Y / N     Is your dog friendly with other dogs? Y / N
Have you trained a dog before? Y / N     When and where?__________________________
What brand of dog food do you feed your dog?______________________________
Name of Vet:_________________________     Rabies Tag #:_________  Exp.:__/__/____
Does your dog have any physical problems? ______________________________________
Is your dog housetrained? Y / N     Crate trained? Y / N
Does your dog have any problems you would like to discuss with a trainer? _____________________________________________
Waiver, Assumption of Risk, and Agreement to Indemnify and Hold Harmless
I understand attendance in a dog training class is not without risk to myself, members of my family or guests who may attend or to my dog because some dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the utmost care.

I hereby waive and release Four Paws Academy, Inc. it employees, owners and agents from any and all liability of any nature for injury or damage which I or my dog may suffer, including specifically, but not without limitation to, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session or other function of Four Paws Academy, Inc. or while on the training grounds or the surrounding area.

I hereby agree to indemnify and hold harmless Four Paws Academy, Inc., its employees, owners, and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or function of Four Paws Academy, Inc. or while on the grounds or the surrounding area as a result of any action by any dog, including my own.
I understand that my payment with my application will hold my place in class. I understand there are no refunds after the first class.

Signature of owner/s:_________________________________________ Date:__/__/____

Signature of owner/s:_________________________________________ Date:__/__/____

Signature of Handler(if not owner):_______________________________ Date:__/__/____