DOGCREEK WATERDOGS PUPPY/HANDLER RETRIEVER CLASS ENROLLMENT FORM Monday Evening      6:00pm-7:00pm Saturday Morning    9:00am-10:00am Class Start Date:____________ HANDLER INFO   Name:____________________    Email:__________________ Day Phone #:____________________    Evening Phone #:___________________ Address:________________________   City:____________   Zip:_____________ PUPPY INFO    Name:_______________________ Breed:___________________ Birthdate:____________ Sex:__________ Veterinarian Name/Address:___________________________________________ Vet Phone #:__________________ Date of Last Vaccinations: DHLP_________  Parvo:________ Date of Last Fecal Check:______________ LIABILITY RELEASE: I, the undersigned, hereby acknowledge that I have voluntarily applied for the services of Dogcreek Waterdogs (and it's agents) for canine behavioral and/or dog obedience instruction. As lawful consideration for participating in these activities, I hereby agree that I, my heirs, distributees, guardians, legal representatives, and assigns will not make a claim against, sue, attach the property of, or proesecute DOGCREEK WATERDOGS, its owners or agents, for any injuries or damages resulting to me, my animal(s), or my property, however caused, as a result of my participating in DOGCREEK WATERDOGS activities. In addition, I hereby release and discharge DOGCREEK WATERDOGS from actions, claims, or demands I, my heirs, distributess, guardians, legal representatives, or assigns now have or may in the future have for injury or damage resulting from my participation in this activity. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND DOGCREEK WATERDOGS AND I HAVE SIGNED IT OF MY OWN FREE WILL. I UNDERSTAND THERE WILL BE NO REFUNDS AFTER THE FIRST CLASS. DATE:_______________        SIGNATURE:___________________________________ Complete and mail enrollment form to: DOGCREEK WATERDOGS 1707 N LYNN RIGGS BLVD CLAREMORE, OK 74017