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Training Registration Form
Home
» Training Registration Form
Training Registration Form
Thank you for your interest in Birchmount's training classes. Please fill out this form and we will confirm your registration shortly.
Name
First
Last
Email
Address
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone
Course Name
Puppy Kindergarten
Basic Manners
Skills for the Real World
Radical Recall
Clown College
Course Start Date
Dog's Name
Breed
Age at start of class
Sex
Male
Female
Colour
How long have you had this dog
Have you trained a dog before
Yes
No
What method did you use and where
List (if any) concerns that have brought you to class
How did you hear about Birchmount Training
Registration Information
Payment is required at time of registration, before the beginning of class. You may either submit this form along with payment in the area provided or bring in a completed registration form with payment to our clinic at 1563 Birchmount Road.
Payment Information
Visa
Mastercard
Cash or Debit (In clinic only)
Credit Card Number (if Visa or Mastercard selected)
Expiry Date
Name as is appears on card
Please read the section below for our requirements.
You must provide proof of vaccination including Bordatella (Canine Cough), negative stool test within 6 months of the start date of class and your pet must be on a monthly flea prevention such as Revolution or Advantage. Your dog must be friendly and social with other dogs.
AGREEMENT TO HOLD HARMLESS WAIVER AND ASSUMPTION OF RISK
I have read and agree to the below waiver
I realize and hereby acknowledge that Birchmount/Superdogs Central Inc. their agents and employees can accept no responsibility whatsoever for the conduct or actions of other persons or their dogs, who may be participating in the dog training classes, or other factors beyond their control. Accordingly as a condition of the participation of myself and my dog and any other person with whom I am associated with in the dog training classes. I hereby release Birchmount/Superdogs Central Inc. their agents and employees from all claims whatsoever, for any loss or damage which I or my dog may suffer, unless caused solely and exclusively by the gross negligence of Birchmount/Superdogs Central Inc. its agents or employees. In addition, I accept full responsibility for the conduct of my dog at all times and hereby agree to release Birchmount/Superdogs Central Inc. its agents and employees for any and all claims, damages or injuries which they suffer or incur, whether directly or indirectly, including liability for damages suffered by others as a result of the conduct or actions of myself or my dog.
A word on Postive-Based Training
Just as people learn best from being told they are doing something correctly (as opposed to only being told what they are doing wrong which will eventually result in confusion and/or frustration) dogs learn best, and retain information/feedback better, thereby forming GOOD behavior/habits by being rewarded for making correct choices and performing desired behaviors instead of simply learning to avoid corrections through compulsion training. Forming a relationship with your dog based on trust, not on avoidance of corrections and fear, will withstand the test of time and in the end result in a much more confident and well behaved companion.
Training Refund Policy
Once you have enrolled in your course, we reserve that space for you and your dog. Once you have that space reserved, we will not be able to give it to anyone else. If you have to drop out of class we have a no refund policy if cancellation is less than seven days before the start of the first class. In case of a dog illness, please send a vet note and we can enroll you and your dog in another session of classes. If your dog is ill on a class day, please come to the school without your dog, to watch the lesson. This will enable you to continue with the lessons at home during the week. If you do miss a class, please come to the lesson a few minutes early the following week. We will do our best to give you a catch up lesson.