Registration Form

Name *
Name
Address *
Address
Cell Phone *
Cell Phone
Home Phone
Home Phone
Emergency Contact Phone *
Emergency Contact Phone
Canine Information
Sex
Housebroken?
Date of Birth
Date of Birth
Spayed/Neutered
Medical Information/History
If your pet has an orthopedic specialist, acupuncturist, or chiropractor, please include those phone numbers .
Health History- Past & Present
Including medical problems and physical ailments
Does your dog know any of the following verbal commands? Please check all that apply.
How often does your dog obey verbal commands?
Does your dog come when called?
What is your dog’s normal activity level?
Is your dog food motivated?
If yes, is it okay to give treats (grain free, or vegetables) during sessions?
Owner Information
Release of Liability Agreement *
Bringing my pet into contact with other dogs and people poses certain risks, including the risk of contracting disease or injury. On behalf of myself, any member of my household and/or my dog, I assume all responsibility associated with participating in any activities with Elite Canine Conditioning. Elite Canine Conditioning staff and trainers may take photographs and videos of me, my dog(s) and anyone accompanying me during classes and/or events and may use images for all purposes, including promotional materials and on Facebook pages, other social media and websites of Elite Canine Conditioning without compensation or further notice. Elite Canine Conditioning and/or respective employees and agents are not responsible for any damages and/or injuries that might arise from participating in activities with Elite Canine Conditioning, either onsite or offsite, including, but not limited to, damages from personal injury to myself or my dog, medical bills, veterinary bills, loss of personal property, emotional distress or any other damages that I, my dog, member of my household or guest that I invite may suffer. I take complete responsibility for my dog’s actions. I am over 18 years of age and am the legal owner of the dog(s) listed above. By checking "I agree" below, you agree to the release of liability terms above.