Holyoke Dog Obedience Training Club Inc.
Beginner Class Form (to be filled out and bring with you to the first class)
Session Start Date:____________________________________
E mail: ___________________________________________________________
(Your info will not be provided to any outside organizations. Phone and email will be for club use
Dog’s Name:_____________________________________ Age:_______
Breed: __________________________ Male____ Female___
Date of rabies vaccination: _________________________________
Owners should follow their veterinarian’s recommendation to insure their dogs are free of internal
and external parasites and communicable diseases and have appropriate vaccinations or titers.)
PLEASE READ CAREFULLY BEFORE SIGNING:
Agreement to Hold Harmless, Waiver and Assumption of Risk
I understand that attendance of a dog training class or seminar is not without risk to myself,
members of my family or guests who may attend, or my dog, because some of the dogs to which I
will be exposed may be difficult to control and may be the cause of injury even when handled with
the greatest amount of care.
I hereby waive and release Holyoke Dog Obedience Training hereinafter referred to as HDOTC, its
employees instructors, officers, members and agents from any and all liability of any nature, for
injury or damage which I or my dog may suffer, including but without limitation, any injury or
damage resulting from the action of any dog, and I expressly assume the risk of such damage or
injury while attending any training session, or any other function of HDOTC, while on the grounds
or surrounding area thereto. This includes Dave's Soda and Pet Food City in Agawam, MA and/or
Pet Companion of Granby, MA.
In consideration of an as inducement to the acceptance of my application for training by HDOTC I
hereby agree to identify and hold harmless HDOTC, it's employees, instructors, officers,
members, and agents from any and all claims by any member of my family or any other person
accompanying me to any training session or function of HDOTC, or while on the grounds or the
surrounding area thereto as a result any action by any dog, including my own. This includes
Dave's Soda City and Pet Companion.
Signature: __________________________________ Date: ____________________