Canine Classes Registration – Los Gatos Dog & Cat Hospital

Name*

First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code

Home Phone

Cell Phone*

Email Address*

Family Members

Puppy/Dog's Name*

Date of birth*

Breed

Class*

Are you a client of Los Gatos Dog & Cat Hospital?*

Yes
No

If no, please provide us with a copy of records indicating current vaccination status and a negative fecal sample.

Checks should be made payable to - Los Gatos Dog & Cat Hospital.
Major credit cards - Visa, MasterCard, Discover and Cash are accepted.

If your puppy/dog is acting ill(vomiting, diarrhea, lethargy) please do not bring him/her to class. Call the instructor prior to class to discuss your pet's condition. You are welcome to attend class without your puppy to observe the week's session.

Every attempt is made to keep Puppy Preschool and Adolescent Dog Class safe for dogs and people. In the unlikely event of illness or injury to an owner or dog, Los Gatos Dog & Cat Hospital is not responsible. I assume responsibility for myself, my child and my dog in the unlikely event of illness or injury.

By choosing yes below, I agree to the terms stated above*

Yes
No

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