Student Information
CHOOSE THE CLASS/CLASSES YOU WANT THEN CLICK CART ICON ON MENU TO PAY Name*
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Status* Text OK?*
Dog Information Breed* All American Dog Affenpinscher Afghan Hound Airedale Terrier Akita Alaskan Malamute American English Coonhound American Eskimo Dog American Foxhound American Hairless Terrier American Leopard Hound American Staffordshire Terrier American Water Spaniel Anatolian Shepherd Dog Appenzeller Sennenhunde Australian Cattle Dog Australian Koolie Australian Kelpie Australian Shepherd Australian Stumpy Tail Cattle Dog Australian Terrier Azawakh Barbet Basenji Basset Fauve de Bretagne Basset Hound Bavarian Mountain Scent Hound Beagle Bearded Collie Beauceron Bedlington Terrier Belgian Laekenois Belgian Malinois Belgian Sheepdog Belgian Tervuren Bergamasco Berger Picard Bernese Mountain Dog Bichon Frise Biewer Terrier Black and Tan Coonhound Black Russian Terrier Bloodhound Bluetick Coonhound Boerboel Bohemian Shepherd Bolognese Border Collie Border Terrier Borzoi Boston Terrier Bouvier des Flanders Boxer Boykin Spaniel Bracco Italiano Braque du Bourbonnais Braque Francais Pyrenean Briard Brittany Broholmer Brussels Griffon Bull Terrier Bulldog Bullmastiff Cairn Terrier Canaan Dog Cane Corso Cardigan Welsh Corgi Carolina Dog Catahoula Leopard Dog Caucasian Shepherd Cavalier King Charles Spaniel Central Asian Shepherd Dog Cesky Terrier Chesapeake Bay Retriever Chihuahua Chinese Crested Chinese Shar-Pei Chinook Chow Chow Cirneco dell'Etna Clumber Spaniel Cocker Spaniel Collie Coton de Tulear Croatian Sheepdog Curly-Coated Retriever Czechoslovakian Vlcak Dachshund Dalmatian Dandie Dinmont Terrier Danish-Swedish Farmdog Deutscher Wachtelhund Doberman Pinscher Dogo Argentino Dogue de Bordeaux Drentsche Patrijshond Drever Dutch Shepherd English Cocker Spaniel English Foxhound English Setter English Shepherd English Springer Spaniel English Toy Spaniel Entlebucher Mountain Dog Estrela Mountain Dog Eurasier Eurasier Field Spaniel Finnish Lapphund Finnish Spitz Flat-Coated Retriever French Bulldog French Spaniel German Longhaired Pointer German Pinscher German Shepherd Dog German Shorthaired Pointer German Spitz German Wirehaired Pointer Giant Schnauzer Glen of Imaal Terrier Golden Retriever Gordon Setter Grand Basset Griffon Vendeen Great Dane Great Pyrenees Greater Swiss Mountain Dog Greyhound Hamiltonstovare Hanoverian Scenthound Harrier Havanese Hokkaido Hovawart Huntaway Ibizan Hound Icelandic Sheepdog Irish Red and White Setter Irish Setter Irish Terrier Irish Water Spaniel Irish Wolfhound Italian Greyhound Jack Russell Terrier Jagdterrier Japanese Chin Japanese Spitz Jindo Kai Ken Karelian Bear Dog Keeshond Kerry Blue Terrier Kishu Ken Komondor Kromfohrlander Kuvasz Labrador Retriever Lagotto Romagnolo Lakeland Terrier Lancashire Heeler Lapponian Herder Leonberger Lhasa Apso Löwchen Maltese Manchester Terrier Mastiff Miniature American Shepherd Miniature Bull Terrier Miniature Pinscher Miniature Poodle Miniature Schnauzer Mountain Cur Mudi Neapolitan Mastiff Nederlandse Kooikerhondje New Guinea Singing Dog Newfoundland Norfolk Terrier Norrbottenspets Norwegian Buhund Norwegian Elkhound Norwegian Lundehund Norwich Terrier Nova Scotia Duck-Tolling Retriever Old English Sheepdog Otterhound Papillon Parson Russell Terrier Pekingese Pembroke Welsh Corgi Perro de Presa Canario Peruvian Inca Orchid Petit Basset Griffon Vendeen Pharaoh Hound Plott Hound Pointer Polish Lowland Sheepdog Pomeranian Poodle Porcelaine Portuguese Podengo Portuguese Podengo Pequeno Portuguese Pointer Portuguese Sheepdog Portuguese Water Dog Pudelpointer Pug Puli Pumi Pyrenean Mastiff Pyrenean Shepherd Rafeiro do Alentejo Rat Terrier Redbone Coonhound Rhodesian Ridgeback Romanian Mioritic Shepherd Dog Rottweiler Russian Toy Russian Tsvetnaya Bolonka Saint Bernard Saluki Samoyed Schapendoes Schipperke Scottish Deerhound Scottish Terrier Sealyham Terrier Segugio Italiano Shetland Sheepdog Shiba Inu Shih Tzu Shikoku Siberian Husky Silky Terrier Skye Terrier Sloughi Slovakian Wirehaired Pointer Slovensky Cuvac Slovensky Kopov Small Munsterlander Pointer Smooth Fox Terrier Soft Coated Wheaten Terrier Spanish Mastiff Spanish Water Dog Spinone Italiano Stabyhoun Staffordshire Bull Terrier Standard Poodle Standard Schnauzer Sussex Spaniel Swedish Lapphund Swedish Vallhund Taiwan Dog Teddy Roosevelt Terrier Thai Ridgeback Tibetan Mastiff Tibetan Spaniel Tibetan Terrier Tornjak Tosa Toy Fox Terrier Toy Poodle Transylvanian Hound Treeing Tennessee Brindle Treeing Walker Coonhound Vizsla Weimaraner Welsh Springer Spaniel Welsh Terrier West Highland White Terrier Whippet White Swiss Shepherd Dog Wirehaired Fox Terrier Wirehaired Pointing Griffon Wirehaired Vizsla Working Kelpie Xoloitzcuintli Yakutian Laika Yorkshire Terrier
Rabies Certificate?* Click "choose file" to upload your dog's rabies certificate. Click "choose file" to upload your dog's rabies certificate.
Submit Registration Release of Liability, Hold Harmless, & Media Release Agreement*
Release of Liability & Hold Harmless Agreement
I understand that there are inherent risks associated with training, socializing, walking and working with dogs in general. I assume any and all responsibility for myself and my dog(s) during training, walking and any other work with Competition Canine and The Training Center, assuming due diligence and care have been exercised. I will not hold Competition Canine and The Training Center, Ann and Peter McQuillen, any affiliates, instructors or property owners responsible for any injuries or misfortunes (to or by me or my dog) while training, walking or any other work, should they occur. I further understand that due to the way that dogs interact with one another, cuts or scratches can occur to me or my dog, even though the dogs are carefully supervised. I also understand that my participation in any of these activities is not without risks such as tripping, falling, getting knocked down, jumped on, bitten, scratched, etc.
I also understand that by enrolling my dog(s) into any of Competition Canine and The Training Center’s programs, classes or seminars that Competition Canine and The Training Center have relied upon my representation that my dog(s) are in good health and have received the necessary vaccinations (or equivalent alternatives) as agreed upon by my veterinarian and that all copies of vaccinations or equivalent alternatives provided by me are true and accurate. If my dog becomes injured or ill and I am not able to administer to my dog, Competition Canine and The Training Center shall have the right to call my veterinarian. In the event of an emergency and my designated veterinarian is unavailable, Competition Canine and The Training Center have the right to take my dog(s) to the nearest animal hospital for immediate care. I agree to reimburse, in full, Competition Canine and The Training Center for any medical expenses accrued while under the supervision of Competition Canine and The Training Center. Competition Canine and The Training Center will not be held responsible for any decisions made by the veterinarian on the dog’s behalf.
Some programs are not appropriate for all dogs. Competition Canine and The Training Center, Ann and Peter McQuillen, any affiliates and/or instructors reserve the right to remove or refuse a dog from any of the training classes, seminars or programs. Competition Canine and The Training Center, Ann and Peter McQuillen, any affiliates and/or instructors reserve the right to dismiss anyone, including but not limited to dogs or their handlers, from any class, seminar or private training session for displaying inappropriate behavior or conduct. Inappropriate behavior or conduct by dogs or handlers will be determined solely by the instructor, seminar leader and/or Ann McQuillen or affiliates of Competition Canine and The Training Center.
I further agree and understand that no agent, instructor, affiliate or employee of Competition Canine and The Training Center, Ann and Peter McQuillen, or property owners will be responsible to stand watch over the activities of my dog(s) and others that might be present upon the premises and upon the activities of myself, other class members, guests of members and other invitees. I take it upon myself to ask questions and use my own common sense with regard to my dog(s), my dog’s activity and participation in any class, seminar or private training session or at any other time I am present at The Training Center.
I hereby release and agree to save and hold harmless, Competition Canine and The Training Center, Ann and Peter McQuillen, any affiliates, instructors or property owners from any and all liability, claims, suits, actions, loss, injury or damage of any nature or kind, or for any liability, claims, suits, actions, loss, injury or damage which I or my dog(s) may sustain or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully indemnify Competition Canine and The Training Center, Ann and Peter McQuillen, any affiliates, instructors or property owners for any and all such liability, claims, suits, actions, losses, injury or damage. I understand that I am solely financially responsible for any damage or harm caused by my dog during training, socializing, or walking.Liability Consent*
Media Release
I give all rights to and permission to Competition Canine and The Training Center and Ann McQuillen, to use any and all photos or videos taken in class or during a private training session or seminar to be posted on their website, used in advertising and/or any flyer or other social media representation that they deem desirable. I agree to permit Competition Canine and The Training Center and Ann McQuillen, for publicity or promotional purposes, to use the name, image, and/or like- ness of Student and/or Student’s dog(s) as well as the voice or sound of either Student and/or Student’s dog(s) without notice, claim, liability or obligation.Media Consent*
Electronic Signature Consent
By typing your name in the field below, you consent to signing this document electronically.