Training Registration

* Denotes Required Fields

Contact Information

First Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip: *

Phone (Home): *

Phone (Work):

Phone (Cell):

Email: *

Alternate Email:

Dog Information

General Information

Dog's Name: *

Sex: *FemaleMale

Breed: *

Birthday: *

Spayed/Neutered: *noyes

Medical/Vaccination History

Please provide veterinary records showing up to date: Rabies, Distemper or DHLPP, Parvo (if no DHLPP) and Bordatella
Records may be attached to application or faxed directly from your Veterinarian’s office to 610.592.9230

Flea/Tick Preventative:

Heartworm Preventative:

Current Veterinarian: *

Attach Veterinary Records:

I will fax vaccination records separately

Training Information

I am interested in (select one): *

Available Group Classes (select one): *

I would like to attend the group class starting on: *

Have you ever participated in any other type of training? * YesNo

If yes, what level or type of training?

Are there any medical or behavioral issues that can affect training? * YesNo

If yes, please explain:

Have you used training aids with your dog? * YesNo Type:

How did your dog respond?

Are you currently using these training aids? * YesNo

What are your goals with your dog? *

How did you find us?

If Other, Please explain:

If referred, please provide referrer:

General Policies

There are a few general policies regarding dogs and training, for everyone's health and safety!

All dogs attending/involved in group classes and private instruction must be current on all vaccinations and copies of most recent veterinarian records must be submitted with this application. This includes vaccinations (or titer levels) for Rabies, DHLPP and Bordatella. Puppies under 4 months must have at least their first set of vaccinations to participate.
The trainer has the right to remove any aggressive dogs from any program, if the dog poses a threat to other dogs or handlers. Cubby's does not feel that dogs exhibiting aggression shouldn’t have the opportunity to be trained and positive socialization achieved-therefore, we feel it should be worked through but in a session not posing a threat to people and/or other dogs.
Once your participation in training has been confirmed by Cubby's Canine Castle staff, refunds will not be issued. Payment for training is due with registration. If paying by check, please make check payable to Cubby's Canine Castle.

By checking below, I am agreeing to all terms set forth through Cubby's Canine Castle as laid out in this registration form. I also agree to release Cubby's Canine Castle and any sub-contractors from any liability to any dog and/or person within the programs and services offered, and agree to accept full financial and other responsibility incurred as the result of the actions of myself and/or my dog. I acknowledge that I have voluntarily applied to participate in Dog Training and Obedience Instruction activities at Cubby's Canine Castle. I am aware that these activities may be hazardous and that I or my dog could be injured. I am voluntarily participating in these activities with knowledge of the danger involved, and agree to assume any and all risks whether those risks are known or unknown.

This release is effective for this training session as well as any and all future Cubby's Canine Castle training activities in which I participate.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT

I agree to all terms set forth through Cubby's Canine Castle as laid out in this registration form. *

First Name: *

Last Name: *

Date: *

Once your application is received, a member of Cubby's Canine Castle staff will contact you to confirm your registration.

Please leave this field empty.