Lead Me On Registration Form 4790 S. Hanauer St. Murray, UT 84107 9304 S. 700 E., Sandy, UT 84070 801/269-0308
Name: Address: City/State/Zip: Email: Home Phone: Work Phone: Breed of Dog: Name Of Dog: Age of Dog: Sex: dog bitch Spayed/Neutered?: yes no Date of Vaccinations: Annual/Combo Bordatella
What would you like to achieve with your dog by taking this class?
Referred by:
I hereby certify to the best of my knowledge that my dog is current on all vaccinations, free from parasites, and is in the best of health. I also accept all liability for the behavior of my dog and myself, and will hold harmless Lead Me On and/or it's instructors and agents from any damages incurred by participants and observers. I also agree to not hold liable Lead Me On dog training or it's instructors for any damages which result from the activities and/or conduct of individuals or animals. NO REFUNDS! CREDIT WILL NOT BE GIVEN AFTER THE FIRST CLASS.
Name: Date:
Which Class?: Puppy Preschool Beginning Obedience Advanced Obedience Conformation Adult Socialization Dog Tricks Agility Obedience Express Which Month? January February March April May June July August September October November December Which Date? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Which Day?: Monday Tuesday Wednesday Thursday Friday Saturday What Time?: 10 am 11 am 12 noon 1 pm 2 pm 6 pm 6:30 pm 7 pm 7:30 pm 8 pm 8:30 pm
AMOUNT DUE: $84.00* After submitting this form, go to the on-line store and click on the "Classes" category to finish this registration! (*Price for all 6 week classes, admitting one dog)
Registration on-line will NOT be valid without submitting a credit card number! Bring a check, cash, or card with you to the first class. Your card will only be charged if you do not show up or fail to give us at least 24 hours notice of cancellation.
Bring proof of vaccinations with you on the first day of class!