UTAH BIRD DOG TRAINING REGISTRATION FORM

Owners Name__________________________________________________
Address_______________________________________________________
City________________________________________ State_____________ Zip_____________
Email Address__________________________________________________
Phone Number (home)_______________________(work)__________________________
Dogs Name_______________________________
Call Name ___________________________________________
Date of Birth__________________________________________
Expected Start Date______________________________________________
Expected End Date_____________________________
Current on Vaccinations, including Rabies and Kennel Cough? Yes No
Is dog on a heartworm program? Yes No
Program Fees: Time Frame: Payment Requirements:
Started Upland and Waterfowl $1350 12 weeks $450 upon arrival, monthly thereafter
$100 Deposit required to hold spot for training- applied towards first month of tuition
**Price includes kenneling and twenty dollars designated each month for birds. If more birds are needed it will be at owners expense after consultation.
*Owner is required to have E-collar by end of 3 months*
Trainer reserves the right to discontinue training at any time, owner also reserves the right to discontinue training at any time and money paid will be pro-rated and returned to owner

Should veterinary costs be incurred, it will be the responsibility of the dog owner.

Owners Signature___________________________________________________ Date_________