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

shimshimshim
none
shim
shim
shim



 

Form - Puppy Kindergarten

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

Age: Date

Breed:

Sex:
Male
Female

Check if you are currently a client of Ann Arbor Animal Hospital
How did you hear about puppy class?

Class Payments (required)
I have already paid for the class
Not yet, but I will call or visit AAAH at least one day prior to class

What would you like to learn at puppy class?

Problems or concerns at this time?

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)
I agree with the above statement.

Please list all those who will attend class.


The verification code below ensures the form is not submitted by a computer
Verification Code :
Enter the code you see in the graphic below in this box.
Your post will not be allowed if you do not type this in correctly.

shim