Registration Form
(One Form Per Dog)
Class / Seminar / Workshop: *
select from list
Advanced Nose Work Class
Agility Confidence Course
Canine Good Citizen Test
Cart Pulling Workshop
Continuing Nose Work Class
Continuing NW - WORKSHOP
Doesn't Play Well with Others
Force Retrieve
Introduction to Nose Work Class
Introduction to Odor Class
Introduction to Swim
Odor Recognition PRACTICE
Odor Recognition TEST
Open Agility
Open Carting
Open Rally
Open Swim
Pack Socialization
Rally Class
Therapy Dog Test
Class Date: *
Class Time:
AM
PM
Handler's Name: *
Street Address:
City:
State:
AL - Alabama
AK - Alaska
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - Washington DC
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Not USA
Zip:
Phone Number: *
Email Address: *
Dog's Name: *
Currently a Training Client?
Yes No
Dog's Breed: *
Dog's Gender:
Female
Male
Spayed Female
Neutered Male
Dog's Age: *
Select method of payment -
check appropriate box:
Mailing Check to NWTB
Credit Card, need to call 602-391-5336
By selecting "I Agree" you agree to the following Hold Harmless Agreement
I Agree
Hold Harmless Agreement
It is understood that every dog at this Now Who's The Boss, Inc. class, seminar, workshop, or event will be in the care and control of the dog's owner/handler at all times. It is further understood that the owner/handler listed above agrees to be fully responsible for the actions of their dog(s) while attending this event on the grounds of Kim Baers' home located at 6112 W Grovers Ave, Glendale AZ 85308 or any other location in which the class, seminar, workshop or event may be held.
The above owner/handler hereby assumes all responsibility and liability for all claims. Furthermore, the owner/handler relinguishes all claims against and agrees to absolve hold harmless Now Who's The Boss, Inc. Owner andall parties connected with the services being provided in any way, singly, or collectively for any loss or injury which may have been caused directly or indirectly to any person, dog or property while participating in the class, seminar, workshop or event or surrounding area.
The owner/handler hereby declares that the participating dog(s) has not been exposed to distemper, rabies, kennel cough, parvo or other known contagious diseases within the last 30 days and the dog(s) is free of worms, heartworm, ticks and fleas..
You should receive a "Thank You Page" immediately following your submittion,
if the screen goes back to the registration page and clears your input then it didn't go through.