Print Form | Close this Window

The DogWorks

PO Box 1376
Monroe, WA 98272-9376
360-793-2362

Registration Form

Class:       Class Start Date:

Name:

Home Phone: ,    Cell Phone:

 E-Mail:

Address:

City:       Zip:

Dog's Name:   Breed:   Age:

I agree to hold the DogWorks, its employees, owners and agents and the facility where class is held harmless from any claim for loss or injury which may have been caused directly or indirectly to any person or thing by the act of any dog while in or nearby where such classes or functions are held.

____________________________
_________________
signature
date
Referred by:

 

Payment reserves your space in class.  You will receive an e-mail as confirmation if you provide your e-mail address.  Print this form and mail it to the address above. Sorry, no refunds.

All classes are 8 weeks in length for $100.