*Name 
 *Addr1
Addr2
 *City 
 *State AK AL AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Zip
 *Day Phone 
Evening Phone
*E-mail  

 *Required Fields

*Pet Name 
*Dog's Breed 
*Dog's Gender Please Select Male Female
*Dog's Age (First Class)

“Puppies” are 10-20 weeks old the first class.

There is a $10.00 (max)discount if your pet is (Please check one if applicable)
Spayed/Neutered
Shelter Adoptee
Pet owner is a Senior, Disabled, or Military

Please choose a class
Reactive Rover - May 18-20, 2007 Reactive Rover - July 6-8, 2007 Reactive Rover - September 7-9, 2007

   You must show current vaccination certificate by the start of Class #2 or you  will be excused from class and no refund will be given.

I, the undersigned owner/handler (client) of the dog described above do hereby agree that Pat Miller, Peaceable Paws, LLC and all Peaceable Paws employees and agents will not be liable for any damage or loss resulting from failure of the dog to respond to any cues or behaviors taught to the by Peaceable Paws or resulting from counseling and advice supplied to the owners/handlers of the dog.  The dog’s behavior now and in the future is solely the responsibility of the owners/handlers (client) of the dog.  Should any behavior on the dog’s part now or in the future result in damage to the property, owners, or person or property of some third party, owner agrees to assume full responsibility for any and all such damage, and to absolve Pat Miller and Peaceable Paws and all Peaceable Paws employees and agents from any and all obligations to pay such damage to owner/handler or third party.  All dogs are trained or otherwise handled or cared for by or owner/handler receives instruction from Pat Miller and Peaceable Paws without any liability whatsoever against Pat Miller, Peaceable Paws or any Peaceable Paws employee or agent for loss, damage from disease, death, running away, theft, fire, injury to or from persons, other dogs or property, or by any other causes.