Registration Form

Client Information
Client Name*
First Last
Pet Information (General)
Dog's Name*
What is your dog's breed?*
My dog is:*
- Male
- Female
Is your dog spayed/neutered?*
- Yes
- No
How old is your dog?*
How long have you owned your dog?*
I am interested in*
- Daycare
- Boarding
Please check all that apply.

Agreement and Release of Liability
I understand that attendance at a dog training class or doggie daycare of any type is not without risk to all attendees, including myself and my dog, because some of the dogs to which we will be exposed may be difficult to control and maybe the cause of injury or damage even when handled with the greatest amount of care. I hereby release All Things Pawssible and their employees, volunteers, officers, directors, agents, and associated trainers from any and all liability of any nature for any injury or damage which I or my dog may suffer, including but not limited to any injury or damage resulting from the action of any dog. I hereby expressly assume the risk of such injury or damage arising from our attendance at any training session or daycare caused while on the premises, or, at, or near any entrance to the premises. I agree to indemnify and hold harmless All Things Pawssible from any claim from injury or damage to any person or dog which may be alleged to have been caused directly or indirectly by me or my dog at any training session or daycare while on premises or at any near entrance to the premises. I certify and represent that the dog entered is NOT A HAZARD TO PERSONS OR OTHER DOGS in health or temperament. All Things Pawssible requires age appropriate vaccinations and will accept titer results as proof of immunity. We do not require Bordatella. We ask should you choose to give this vaccine that you keep your dog out of our facility for two weeks to avoid shedding the virus on/near other dogs. I further agree that it is my responsibility to ascertain that this dog is physically sound and free from any condition that would prevent or limit its participation in this course. I certify that I am an actual owner of this dog, or that I am the duly authorized agent. I have read and accepted these terms and conditions, and certify that all the information given is as accurate as possible.*
- I agree
Client Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Step 1 of 4

Client Information

Pet Information (General)

Behavioral Information

Health Information

Vaccination Records

Additional Information

Agreement and Release of Liability