Fairwayfox Dog Training       "Educating Owners to Create Smart Dogs"    Please fill out the on line registration and submit it prior to your training session. For those signing up for group classes and phone or e-mail consultations, payment must be mailed to complete your registration prior to being accepted into class or being placed on the schedule for a phone or e-mail consultation. Please check to make sure all information is correct and complete before hitting the Submit tab. You must COMPLETE ALL OF THE SECTIONS EVEN THOSE THAT MAY REQUIRE AN N/A IN THAT SECTION for the form to successfully submit. An e-mail confirmation will be sent upon receipt of your registration. The field marked with (*) are required fields. * First and last name of owner: * Full mailing address to include zip code: * E-mail address (needed to confirm your registration information) PLEASE BE SURE YOUR E-MAIL ADDRESS IS CORRECT BEFORE SUBMITTING THIS FORM: * Phone numbers Home Phone: Cell Phone: Work Phone: * Name and phone number of Veterinarian (necessary to check vaccine history): * Name of dog. Breed of dog. Age of dog. Is the dog male or female? Has the dog been spayed or neutered? * Class [Select One]Private In Home Training:Salisbury individual in home lessonSalisbury package of 4 in home lessonsOcean Pines individual in home lessonOcean Pines package of 4 in home lessonsBerlin, West Ocean City, Ocean City or Snow Hill individual lessonBerlin, West Ocean City, Ocean City or Snow Hill package of 4 in home lessonsIn home individual lessons - other area*******************************************************Private Outdoor Obedience and Agility in Salisbury (half hour private lessons are not for behavior modification....please see in home training for that option)Obedience competition trouble shooting (half hour) Obedience lesson package (4 half hour lessons) Obedience lesson package (6 half hour lessons)Obedience competition lesson package (8 half hour lessons) Agility introduction/fun package (4 half hour lessons) Agiltiy introduction/fun package (6 half hour lessons)Agility competition trouble shooting (half hour)Agility competition (4 half hour lessons)Agility competition (6 half hour lessons) *******************************************************Group Classes at Ocean City Animal Hospital:July class dates will be available the first week in July...do not register for a group class if no start date is posted. * Payment Options Payment for private lessons, in-home and packages are due at your first lesson. Payment for group classes, pet therapy training, phone or e-mail consults and gift certificates are due in advance to Fairwayfox Dog Training, P.O. Box 1271, Salisbury, MD 21802. [Select One]cash checkgift certificate (must be shown at lesson) * Most of our clients have been referred to us. Please take a moment and let us know how you found Fairwayfox Dog Training. If you were referred by a business or individual, please give us their name so that we can thank them for their referral. * Waiver, Assumption of Risk and Agreement to Hold Harmless I understand that participation in dog training is not without risk to myself, and family members, guests who might attend, or to my dog. Knowing this, I hereby waive and release Kim Kilmer, Fairwayfox Dog Training, their agents or the owner of the facility or training area from any and all liability of any nature, for injury or damage suffered as a result of my participation in any classes, private lessons, or other programs including any damage or injury resulting from the action of any person or dog, or for any accident occurring on the premises or its surroundings. I agree to accept full responsibility for my actions, those of my family, my guests and of my dog. I agree I disagree * Please type your first and last name in the box below to complete registration. Your name will be your electronic signature. * Provide directions to your home if you have or will schedule an in home lesson. The starting point for your directions will be Salisbury, MD. IF YOU ARE NOT SCHEDULING AN IN HOME LESSON, PLEASE PLACE AN N/A IN THIS TEXT BOX. THE FORM WILL NOT SUBMIT WITHOUT IT.