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 is $475.00 per month and is a three month program, you pay $475 upon arrival, monthly thereafter $100 Deposit required to hold spot for training- applied towards first month of tuition
* If extra birds are needed it will be at owners expense after consultation*
*Owner is required to have E-collar by end of 3 months*                                                              *Dog required to have current shots and on heartworm program*                                        *Owner provides 3 bags of food for dog for the three 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_________