Group Class Customer Agreement Please see the bottom of the page for terms, conditions, and other applicable text. About you Owner Name 1 Owner Name 2 Your email Home phone Mobile phone Address Line 1 Address Line 2 City ZIP Code Emergency contact Name Phone About your dog Name Breed Sex Male Female Age 0-5 months 6-11 months 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years Veterinary info Vaccination records Proof of vaccinations within the last eleven (11) months is required with this registration form. Please have your Veterinarian fax your dog’s vaccination records to Fido @ (248) 398-8600 or email to FidoForms@gmail.com. The following vaccinations are required and must be received prior to class date. DOGS ages over 6 months must be up-to-date on the following vaccinations Dhppl , Rabies, Bordetella, Fecal and Heartworm (clean fecal and heartworm within 30 days). PUPPIES under the age 5 mo. require two (2) series of their puppy vaccinations to be able to attend class. These include Dhlpp, Bordetella and Fecal. Puppies younger then 6 months do not require a rabies vaccination. Fecal should be done 30 days before class starts. Spayed/Neutered? Spayed Neutered Neither Medical conditions Epilepsy Hip Dysphasia Arthritis Heart disease Other Medications Please list all medications currently prescribed for the pet(s). Known food allergies Veterinarian's name Vet phone Vet Address Line 1 Vet Address Line 2 Vet City Vet ZIP Code Class Class starting date Class Advanced Field Trip (6 weeks) - $265 Basic 1 (6 weeks) - $265* Basic 2 (4 weeks) - $180* CGC (4 weeks) - $175 Intermediate (6 weeks) - $265* Leash Reactive Class #1 (6 weeks) - $290 Leash Reactive Class #2 (4 weeks) - $175 Life Skills (6 weeks) - $265 Loose Leash Walking (4 weeks) - $175 Mini Course (3 weeks) - $175 Practice Tricks (4 weeks) - $175 Puppy 1 (8 weeks) - $350* Puppy 2 (6 weeks) - $265* *Price of class includes one clicker. FIDO Newsletters Receive periodic emails from FIDO about dog training, deals, and other communications. How'd you hear about FIDO? Google Yahoo! Bing Facebook Word of mouth Newspaper Friend Other The legal Owner of the dog(s) noted in this agreement state the information contained in this Agreement is true and complete to the best of their knowledge. Owner understands FIDO may need to utilize some or all of this information during the dog(s) training program and Owner has taken special care to present the information in an accurate fashion. THE OWNER UNDERSTANDS AND AGREES THAT OWNER(S) IS(ARE) BEING TRAINED TO TRAIN THEIR DOG(S) AND THAT WITHOUT 100% COOPERATION WITH THE TRAINER; THE DOG(S) WILL NOT GET TRAINED. Owner 1 Agree Owner 1 listed above agrees to all terms and conditions listed on this webpage. Owner 2 Agree Owner 2 listed above agrees to all terms and conditions listed on this webpage. Send
