SpokesDog -- Pet Therapy 101 Registration

Pet Therapy 101 Registration Seminar

Upon electronic receipt of the completed on line registration a space in class will be temporarily held for your team(s). You will receive an email invoice indicating that we have received your on line registration. Per instructions on that invoice you will be asked to send payment to Diane Rich Dog Training, LLC, POB 2872, Kirkland, WA 98083. Once we receive your fee by regular mail, your seminar date will be confirmed by email. You are not confirmed until you receive email notification. Your email confirmation will include as an attachment, directions and other important information. Space is limited and fills quickly so we advise to register early. Fill out completely (* indicates REQUIRED FILEDS), read the agreement below, initial and SUBMIT at the bottom of this form.
Handler Information
First Name(s)*
Last Name(s)*
Address 1*
Address 2
City*
State*
Zip*
Day Phone*
Evening Phone*
Cell Phone
Email*
Total # of Handlers $15 for first handler $10 per additional family member

Pet Information
Pet's Name(s)*
Pet's Age(s)*
Species*
Breed*
Vet*
Vet's Phone*
Pet's Last Exam*
Total # of Pets (1 Handler/Pet) Proof of rabies will be required Instructor will limit # of pets per seminar
WAIVER: I indemnify and hold Diane Rich, Diane Rich Dog Training, LLC, Cascade Plaza/Vista and any of their contractors or volunteers, harmless from and against all claims, losses, liabilities and damage to persons or property, governmental charges or fines and attorney's fees arising out of the acts or omissions of this workshop/class including, but not limited to: interactions with instructor(s), attendees, volunteers, and/or animals, screening or demonstrations involving my companion animal, or transportation of my companion animal to or from the workshop or within this same site. For the safety and comfort of other handlers, other pets, instructors, facility staff and residents, if your pet vocalizes or is disturbing other people or pets, or shows aggression to any person or pet you may be asked to take your pet out of the facility. Sorry, no refunds. Should this occur, you may leave your pet in the car, if weather permits and enjoy the balance of the seminar and observe the evaluations. Due to space, we may limit number of pets allowed per seminar. Space and time are limited and our classes are usually full so register early. Requirements for Participation in Pet Therapy 101: Bring proof of rabies. Tag is not proof. A Vet receipt is acceptable. Dog must be leashed at all times via a 4-6 foot fabric or leather leash, be groomed and parasite/flea free. Retractable, flexi-leads, metal leashes are not allowed anywhere on facility grounds. You may wish to bring dog mat for your dog's comfort as the floor is not carpeted. Also bring poop bags, a water bowl and a pet brush or grooming tool. Your dog may wear any collar or harness for control at this seminar. Dog must be a minimum of 10 months old (please inquire as to minimum ages for other species). Pet must be quiet and under control at all times. Control means housebroken, not pulling you around, not jumping on other pets or people, not vocalizing. Pet must be relaxed and mannered around other pets/people. Refund Policy: Sorry, no refunds within 14 days of class date or if asked to leave the class or any reason or if dog must be excused from class. We apologize, but there are no free makeups seminars if you cancel or need to reschedule within the 14 days of any confirmed seminar/evaluation or just don't show up. If you can't attend the seminar for which you were confirmed you will need to re-register and we will do our best to get you into the next available seminar. * Cancellation fee of $8.00 for Pet Therapy 101 or team evaluation if cancelled 14 days or less from class date. * Although we have yet to reschedule our seminars to date, we do reserve the right to reschedule seminar dates due to facility conflicts, illness or group size. You will be offered alternative dates. No refunds. Photo Release: I agree that photographs or videos taken of me, family member(s), friend(s) or my pet(s) are the sole property of Diane Rich/Diane Rich Dog Training, LLC. I understand photos/video may be used for promotional, educational, website, blog and other business related purposes without compensation to owner or agent to owner.
Initials* By initialing I have read, understood, agree to above and am 18 years of age or older.