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Humboldt Dog Obedience Group
10% of all class fees are placed in our
Terri Lockett Memorial Spay/Neuter
Fund. This fund is used to assist in the
altering of dogs & is available to anyone
on a first come/first served basis. If you
are interested, just give us a call.
Obedience Class Registration Form
P. O. Box 6733, Eureka CA 95502-6733 • 707.444.3862 • www.humdog.org
TRAINER / HANDLER INFORMATION
Please check the class you are
registering for:
Owner/Handler Name:
Mailing Address:
City:
State:
Home Phone:
Zip:
Alternate Phone:
Email:
Previous Training Experience: None Some General Training
Obedience Competition Training
Goals for you and your dog:
DOG INFORMATION
Call Name:
Breed:
Date of Birth:
Sex: Male Female
Veterinarian:
Altered: Yes No
Kept: Indoor Outdoor Both–outdoor ____%
Kindergarten Puppy Training
6-week class – 6 pm--$70
6-week class—7 pm--$70
Foundation Class
6-week class – 5 pm --$80
6-week class – 6 pm --$80
Basic Obedience (prep for CGC)
Prerequisite: Foundation Class
6-week class – 5 pm --$80
6-week class – 7 pm --$80
Basic Plus
Prerequisite: Foundation & Basic
6-week class – 8 pm --$80
**______________Special Class
3 week = $40 class 6 week = $80 class
Please check schedule for availability
Questions? Call 707.444.3862
Adoption Discount
DOGS THAT ARE AGGRESSIVE TOWARD PEOPLE ARE NOT ACCEPTED.
•
•
•
If this is the first time you will have had this dog
in our Kindergarten Puppy or Foundation/Basic
Obedience class and the dog was adopted from a
shelter, humane society or rescue group, you
may take a $10 discount on the class. Only one
discount allowed per dog. You must provide us
with a copy of the adoption paperwork to
qualify.
Make checks payable to HumDOG
Adoption Discount -- $10
Mailing address is P. O. Box 6733, Eureka CA 95502-6733
Include: A copy of vaccination information
Copy of adoption papers from humane societies / rescue groups (if requesting discount)
I, the undersigned, agree to hold the club, Humboldt Dog Obedience Group (HumDOG), and its members harmless
from any claims of loss or injury in connection with these classes. I assume all responsibility for any acts of my dog(s).
I understand that if my dog(s) show any aggressive behavior, as determined solely by HumDOG, I may be asked to
leave classes or events. I hold HumDOG and its members harmless for any claims, loss or injury to my dog(s).
Signature:
Date:
Parent’s or guardian’s signature is required for handlers under the age of 18. A parent or guardian for handlers under 18 years must remain on the premises during class.
For HumDOG use only
SHOTS DUE
Required
CLASS WITH START DATE
DATE PD
AMOUNT
DHPP
$
Cash / Check #
Rabies(Basic)
$
Cash / Check #
$
Cash / Check #
Suggested but
$
Cash / Check #
Not required
$
Cash / Check #
Leptospirosis
$
Cash / Check #
Bordella
$
Cash / Check #