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New? To apply for a class, send this completed form with a copy of the health record per below and the class fee. Applications received without all documentation as noted will not be accepted and will be returned. No printer? Call (517) 548-4536 to request a form.
Health record: Include a copy for our file on veterinarian letterhead, showing vaccinations or titers done. Required: Parvo, distemper and proof of a clear fecal check performed within one month prior of the class start date. Bordetella is required if your pet visits a groomer, day care or boarding kennel.
Returning trainer with returning pet in the same calendar year, write your pet and class name with start date and day on your check. Fecal rechecks every six months and also provide vaccination or titer updates as performed. Thank you.

Classes are available on a first pay basis. Fee is for one trainer and one dog for lesson(s) or class with noted start date. We reserve the right to cancel or change the schedule, classes may have minimum and/or maximum limits. Check your calendar and consider your health before registering. Client cancellations are subject to $30.00 processing fee which will be subtracted from refund.
Note: No refunds or transfers on or after the class start date - no exceptions.

Your signature(s) acknowledges that you agree to comply with the RDT LLC Rules and you will sign a CURRENT year hold harmless waiver and assumption of risk form if your pet is accepted for services. The attending parent-guardian will accept responsibility if the owner-trainer is under eighteen years old and also will sign here. Signature(s) and date:

Enclosed: Completed form ____ Health Record ____ Class Fee Amount: ____
Check payable to: Results Dog Training LLC. PO Box #2087, Howell, MI. 48844.

Confirmation of class availability will be provided by mail if time allows. Directions needed? Yes No

Owner-Trainer Name:                           	Pet Name and DOB:

Street Address:                               	Breed(s):            

City:       		      Zip:              Male Neutered? 

Phone(s):                                     	Female Spayed?

E-mail (optional):                            	Referred by:

Shall we send you future program news?        	Vet. Clinic:

Household Members & Other Pets:               	Acquired from (name):

Answer the following below or on the back of this form.


Health Alert for people or pet? If yes - explain:



List what pet knows: Term or command, teaching method(s) and equipment used.

Have you attended a class with this and/or other dogs? If yes, when and where?

Has your dog ever shown aggression? NO YES If yes explain.

Describe your pets' temperament. List your goals and help desired.
 


Class         Day(s)    Start Date     End Date     Time        Fee
 
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