Ann Arbor Animal Hospital 
2150 West Liberty Street, Ann Arbor, MI 48103      734-662-4474

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Form - Puppy Pre-School

Name (required)
First Name (required)
Last Name (required)
Address
Street Address
City
State/Province
Zip/Postal Code
,
Phone (required)
Phone TypePhone Number (required)
E-Mail (required) :
Pet's Name

Age: Date and age in weeks

Breed:

Sex:
Male
Female

Check if you are curetly a client of Ann Arbor Animal Hospital
How did you find out about puppy class?

Vaccination Status:
My pet has current vaccinations. (If given at vet other than AAAH please bring copy to first class.)

Class Payment:
I have already paid for my class
Not yet, but I will call or stop by AAAH at least one day prior to class

What would you like to learn at puppy class?

Problems or concerns at this time?

Please Read:
Liability Release: Owner(owner of dog, client of Ann Arbor Animal Hospital, handler of dog and any other attending class) agrees that Cristy Rice and Ann Arbor Animal Hospital will not be liable for any damages or loss resulting from failure of the dog to respond to any cues or commands and advice supplied to owners of dog. Dog's Behavior now and in the future is soley the responsibility of the owners (client) of the dog. Should any behavior on the dog's part now or in the future result in damage to the property, owners or person of some third party, owner agrees to assume full responsibility to such third party for any and all obligations to pay such damage to a third party.
I have read this statement and (required)
agree to the terms presented

Please list all persons who will attend puppy class


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