Shel-Ray Pet Shalet 
Training Registration Form

Please also complete the questionnaire and provide vet records 

Handler's Name:
Pet's Name:
Sex (M/F):
Neutered/Spayed? (Y/N):
 
Breed:
DOB:
Color:
Acquired From:
Owner's Last Name:
First Name:
Street Address:
City:
State: Zip:
Home Phone:
Work Phone:
 Ext.:
Fax:
E-Mail:
Program Commence Date:
Program Commence Time:

I DO HEREBY APPLY TO REGISTER AND/OR TRAIN MY OWN DOG IN THE PROGRAM COMMENCING THE DATE & TIME ABOVE. I ASSUME FULL RESPONSIBILITY FOR THE ACTIONS OF MY DOG WHILE ON THE PREMISES AND RELEASE SHEL-RAY® PET SHALET and its personnel from any and all claims, actions or causes of actions resulting out of or in any connection with the said training program. I understand that all fees become non-refundable. If the handler is under the age of 18, the parent or guardian gives permission and accepts responsibility as indicated. I declare that the above dog is not a hazard to other pets or humans.

The private class included with the In-Residence training must be accomplished within 30 days of picking up the dog or the class will be forfeited and/or additional fees will be required to continue at the discretion of the Director of Training.

A veterinarian certificate will be provided, with dates of required innoculations: DHLPP-RABIES-BORDATELLA. Also, highly recommended is CORONA and LYME. The charge card information below is completed as full payment.

I also understand that I must follow the rules noted both in written and verbal form while on SHEL-RAY® PET SHALET property. I have received a copy of such written rules. SHEL-RAY® PET SHALET has the right to enforce these rules in a manner in order to protect other pets, property or persons by immediate dismissal withut refund.

Credit Card Payment (Click One):

Visa Discover
MasterCard American Express

This section must be completed to use a credit card. PLEASE NOTE: This form is NOT on a secure server at present. Feel free to phone your credit card information to the office, (262) 857-2163, or fax on a secure line to (262) 857-6949, instead of completing this section.

Card Number:
Expiry Date:
Name on Card: