Registration
Your Name:
 Email Address
Your Address
Pet's Name
Phone Number:
 Pets Breed and
Color:
Pets Age:
Vet Clinic
Phone Number
Vet Clinic Name:
Please choose the class or classes
that you wish to register for.

To choose more then one class
hold the control button as you click.
How did you hear about us?
Comments
To help us meet your needs please select any box that you feel applies to your pup:
Do you have any physical limitations that I
should be aware of for class/ homework
exercises.
Does your  pup have any physical limitations
or food allergies that I should be aware of for
class/ homework exercises.
Please list the top three tasks that you hope
to cover with your dog over the next six weeks.
I understand that I will be required to
provide proof of vaccinations before or
at the first class in order for my dog to
participate. Puppies must have had at
least two sets of puppy shots and
Bordatella.
I  hereby release and discharge Beth Shepherd , members, employees, successors, assigns and all affiliated
parties from any and all liability, claims, demands, causes of action, loss, damage or injury to person or
property, including but not limited to any death and serious injury which may result while I, my guest(s) or my
pet(s) are attending obedience lessons through attending an event sponsored by Beth Shepherd. I also agree to
be responsible for myself, my guest(s) and my pet(s) and for any liability caused by me, my guest(s) and my
pet(s), and that I will hold harmless and indemnify Beth Shepherd and its, members, employees, successors,
assigns and all affiliated parties from any and all liability, claims, demands, causes of action, loss damage or
injury to person or property, including any death and serious injury which may be caused by myself, my guest(s)
or my pet(s) while they are on the premises of any training situation or  attending an event sponsored by    Beth
Shepherd              .
I hereby certify that I am eighteen (18) years of age or older and have the legal capacity to enter into a binding
contract under the laws of the State of North Carolina. I intend for this release to be binding upon my heirs,
beneficiaries, next of kin, personal representative or executor, and assignees.
Please Initial in the box to the right to accept
the release form and group class policies

Mini sessions run for two weeks for 45.00 and regular classes run for 4 weeks for 100.00, handouts and
access to trainer outside of class via email  for the training period are included in the fee.

Thank you for your interest and we look forward to meeting you and your canine companion!

Please fax a copy of your vet records over to Paw Beach at least 5 days before the start of
classes @ 888-201-0173.
** Please note your dog will not be allowed to participate in classes without age appropriate vaccines** .