For Dogs Only

For Dogs Only, LLC

Personal Information for Dog Training Classes with JoAnn Hoffpauir

Please fill out one form for each dog. You only need to do this once for each dog.

Date: ______

Your Information:

Name: ______

Tel (Home)______(Work)______(Cell)______

Email:______

Address: ______

Your Dog's Information

Name: Breed:

Gender: Age:

(Circle One):Spay/Neutered Intact

Veterinarian Name: Phone:

Health Problems:

Where did you obtain dog (Breeder, shelter, etc.)?

How long owned?: Dog Lives: Indoors / Outdoors

Potty Trained: Yes / No Dog Sleeps:

Is dog crate trained?: Yes / No Fed How Often?: Food Brand:

Other Family Members

Other Adults in Home:

Children: Names: Age:

Age:

Age:

Other Pets: Names: Sex: M / F Species: Age:

Sex: M / F Species: Age:

Enrollment Information for Dog Training

Please fill out one form for each dog.

Your Name: Best Phone #:

Dog's Name: Age:

Circle Classes of interest:

Rally Classes (All Levels)

Basic Obedience (8 Week Class)

Competitive Obedience Classes: Pre-Novice class Novice/Open Class Utility Class

Private Lessons

Start Date/Time:

Describe exercise routines:

Any Previous Training?:

Describe any behavior problems you need help with:

Has the dog ever bitten or injured another person or animal-if yes, list incidents and details on back of page:

Services Agreement:

Full payment is due prior to the start of group classes or private instruction. Subsequent to the first class, no refunds will be made.

Owner's Name: ______

Waiver of Liability:

I understand and agree that the instructor Jo Ann Hoffpauir shall not be liable for

any injury or damage to any person, animal, or property, which results from the training or behavior of my pet. I also understand and agree that an adult must accompany any child in attendance under the age of 18. I further agree that the instructor or employees shall not be held liable for any costs or expenses incurred in connection with any claim occurring as a result of my pet's participation in the training program.

Owner's Signature: ______

Date: ______

Note: Group classes are not appropriate for dogs that are dangerously

aggressive to people or other animals. These dogs require special training or referral to a certified behavioral specialist.

Contact: Jo Ann Hoffpauir 281-581-9151 or 713-299-5900 email: