For each dog attending, please fill out the following information: Handler/Owner Information
Handler's Name *
Hander's Age (if under 18)
Owner's Name (if different from handler)
Dog's information
Dog's Name *
Dog's Age *
Breed *
Sex *
Is this dog Neutered/Spayed? *
Has this dog, at any time, shown signs of aggression? *
My dog was vaccinated against rabies by:
Veterinarian *
Expiration Date *
Tag Number *
Waiver of Liability I understand that attendance at training classes and other dog activities sponsored by Breakaway Action Dogs is not without risk to myself, my dog, members of my family or guests who may attend. Because dogs, by nature are not always predictable in their behavior, I understand that I will be assuming responsibility for the risk implied in working with and around dogs.
I hereby waive and release Breakaway Action Dogs, its members, and Gladhill Properties from any and all liability of any nature for illness, injury or damage which, I, my family, my guests or my dog may suffer, including specifically, without limitation, any injury or damage resulting from the action of any dog, including my own, and I expressly assume the risk of such damage or injury while attending any training class or sponsored activity now and in the future.
Rev. 8/20
I have read and agree to the waiver above. (Please write your full name) *
Rules NO AGGRESSIVE DOGS WILL BE PERMITTED IN CLASSES. Dogs exhibiting aggressive
behavior, as determined by any instructor of B.A.D., Inc. may be asked to leave class. No refund will
be forth coming.
BITCHES IN SEASON WILL BE EXCUSED FROM CLASS
Bitches in season are not allowed in the building! We highly encourage owners to attend class without
the dog. We view this as an important training opportunity! Owners are still given the opportunity to
see what is being taught in class; many of these skills can still be practiced at home.
Use of Prong Collars
Breakaway Action Dogs does NOT allow the use of prong collars in any classes. Owners/handlers may use a
prong collar to transition a dog to and from the car into the building, but it MUST be removed prior to the start
of class.
Cleanup: Exercise dogs in designated area. Scoop all poop thoroughly. Preferably take all poop with
you or deposit it in outside receptacle designated for dog poop. DO NOT allow dogs to go around
landscaping.
If an accident occurs pick it up or wipe it up with cleanup items located in the training facility. Take
home EVERYTHING, feces, paper towels, plastic bags, and any other soiled items. Do NOT place
any waste materials in training facility trash cans. Owners are responsible for cleaning up after their
dogs.
Disturbances: Participants using unsafe handling, or harsh or severe corrections as determined by
the instructors of B.A.D. will not be permitted. Participants are expected to conduct themselves and
control their pets in such a way as to not interfere with training. Barking dogs that disturb training will
not be allowed.
Children: All children under 16 years of age, whether participating in a training class or not, must be
accompanied and under the supervision of an adult at all times. Children are not allowed to play in
the parking lot.
Attendance: Training builds each week on previous training. Participants should attend regularly to
benefit from class. They should advise their instructor if they will be absent.
DOGS MUST BE UNDER CONTROL AT ALL TIMES
I have read and agree to the rules above. *
