Rally – Introduction

For each dog attending, please fill out the following information:

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Handler/Owner Information

Handler's Name *

Hander's Age (if under 18)

Owner's Name (if different from handler)

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Dog's information

Dog's Name *

Dog's Age *

Breed *

Sex * Male
Female

Is this dog Neutered/Spayed? * Yes
No

Has this dog, at any time, shown signs of aggression? * Yes
No

My dog was vaccinated against rabies by:

Veterinarian *

Expiration Date *

Tag Number *

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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) *

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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. *

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