Conveniently located near Phillipsburg, NJ
(973) 948-2290
Martha McCluskey
| Flying W Dog Training Conveniently located near Phillipsburg, NJ |
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(973) 948-2290 Martha McCluskey |
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NAME:_________________________________________________________________ |
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ADDRESS:______________________________________________________________ |
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PHONE #: Day:_________________________ EVENING:________________________ |
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DOG'S NAME:______________________________________________________ |
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DOG'S AGE:____________________ DOG'S SEX:_____________________ |
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Where did you hear about Flying W classes?_________________________________ |
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_________________________________________________________________ |
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Has your dog had any prior agility training or experience? (Y/N)________ |
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If yes, where and what level?______________________________________________ |
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_________________________________________________________________ |
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Specific Problems:_______________________________________________________ |
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__________________________________________________________________ |
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Has your dog been enrolled in or completed obedience classes? (Y/N)_______ |
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If yes, where and what level?______________________________________________ |
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_________________________________________________________________ |
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*** PLEASE READ AND SIGN THE FOLLOWING DISCLAIMER *** APPLICATION WILL BE RETURNED IF NOT SIGNED I, the undersigned, will not hold Martha McCluskey, any instructor, or anyone else connected with FLYING W DOG TRAINING responsible for any injury to persons or property caused by my dog or any dog brought to class by me. Neither will I hold any of the aforementioned persons responsible for any physical harm which might come to me, my dog, or any dog brought to class by me while attending a class function, conducted or supported by any of the above mentioned persons or parties. I understand that the instructor reserves the right to refuse admission or expel any dog whose aggressive behavior jeopardizes the welfare of others or whose behavior is in any way deemed a disturbance. I further agree to abide by any rules and regulations or conditions set forth by any or all of the aforementioned parties.
Dated:________________ Signature of Applicant_____________________________________________ Please note: Students new to FLYING W DOG TRAINING must send proof of current inoculations with application. Please complete and sign the application and disclaimer and return with class fee(s) to: FLYING W 116 Bierskill Rd., Montague, NJ 07827
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