Enrollment Form

Tri-State K9 University

Main Office:

P.O. Box 6432

Evansville, Indiana 47719

812.305.4737

Email: info@tsk9u.com

ENROLLMENT FORM

Tri-State K9 University

P.O. Box 6432

Evansville, Indiana 47719

812.305.4737

www.TSK9U.com

Higher Education for Canines

TSK9U Enrollment Form

START DATE______________________

TIME________________

DAY________________

TRAINING FACILITY______________________________________________________

IN-HOME TRAINING

PRIVATE LESSON

1/2 HOUR

PRIVATE LESSON

1 HOUR

AKC CANINE GOOD CITIZEN TEST

FRESHMAN K9

SOPHOMORE K9

JUNIOR K9

SENIOR K9

K9 KIDS

K9 PLAYTIME

POTTY TRAINING

KIDS & K9S SAFETY SEMINAR

NEW PARENTS & THEIR K9S

CHRISTIANS & THEIR K9S

_____________________________________________

Owners Name

(____)________________________________________

Daytime #

(_____)_______________________________________

Evening #

_____________________________________________

E-Mail

_____________________________________________

Address

_____________________________________________

City, State, Zip

______________________________________________

Name of K9

______________________________________________

Breed of K9

______________________________________________

Age of K9

______________________________________________

Male or Female

______________________________________________

How did you hear about us?

I understand and agree that TRI-STATE K9 UNIVERSITY or any other participant shall not be liable for any injury or damage to any person, animal, or property, which results from the training or behavior of my pet. I also understand and agree that the above listed shall not be held liable for any costs or expenses incurred in connection with any claim occuring as a result of my pet's participation in the training program.

Owners Signature_________________________________________________________________

Date____________________________________________________________________________

PROOF OF CURRENT VACCINATIONS REQUIRED!

PARVOVIRUS DISTEMPER PARAINFLUENZA BORDATELLA RABIES

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