Joseph’s Obedience Training School

55 Jonathan Bourne Dr. Unit 2

Pocasset, MA. 02559

(508) 563-1122

        Name _________________________________________________________________

        Dog’s Name ____________________________

        AKC # ________________________________  Breed __________________________

        Address_________________________________ Phone # _______________________

        City_______________________________ State___________ Zip_________________

        Phone # ___________________________

        Parental Signature ______________________________________________________

I, (we) understand that the attendance of a dog obedience class or test is not without risk to myself, members, of my family, guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed to may be difficult to control and may be the cause of injury, even when handled with the greatest amount of care. I (we)  hereby waive and release Joseph’s Obedience Training School (herein called “Joseph's”), and its employees, owners and agents from any and all liability of any nature, for injury or damage resulting from the action of my dog and I (we) expressly assume the risk of any such damages or injury  while attending any test session or other function of “Joseph’s”, or while on the testing grounds, or the surrounding area.  In consideration of and as inducement to the acceptance of my (our) application for testing membership in this obedience testing class, I (we) hereby agree to indemnify and hold harmless :Joseph’s”, Its employees, owners and agents from any and all claims or claims by any members of my family, or any other person accompanying me (us) to any testing session or function of “Joseph’s”, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my (our) own.

        Signature _______________________________________ Date ____________________

        Signature _______________________________________ Date ____________________