Private Training Registration Form

Private Lesson

Whether you have a dog that you’d like to train to be a therapy dog or a shy or reactive dog that needs to learn a new set of skills to deal with other dogs or people, we recommend starting with an initial private lesson .

During your individualized session, we will help you identify what’s going on with your dog, help you set some goals and figure out a plan that best helps you meet those goals. Cost of initial session is $195.

Do you, or anyone attending with you, have any special needs we should be aware of? Please be specific.
Name & Location of breeder/shelter/store/etc:

Vaccine Information:

Adult dogs must be currently vaccinated against Distemper, Parvo, Rabies, and Canine Cough. Young puppies must be started on their vaccinations to attend classes; they needn't have had all shots prior to starting class. A photocopy (for Canine University to keep on file) of Proof of Vaccinations should be mailed with this application or brought on the first night of class.

Date of Last Inoculation

Please check all that apply
*people, dogs, DVM, business' name, specific website URL or newsgroup, white or yellow pages, etc...thank you!!!

As legal owner of my dog, I hereby waive and release Canine University, its owners, employees and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session, function or activity or while on the grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training by Canine University, hereby agree to indemnify and hold harmless Canine University and its owners, employees and agents from and and all claims, or claims by any member of my family or any other person accompanying me to any training session, function or activity of Canine University or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.

Please Note: After you submit your form, you will be taken to a page where you can submit your payment. We look forward to working with you!