Private Dog Obedience Lesson Request

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Contact Information:

Contact Information:
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Contact Methods:

Contact Methods:
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Emergency Contact Information:

Emergency Contact Information:
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Please choose which package you are interested in scheduling.

Please choose which package you are interested in scheduling.
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Preferred Day(s)/Time(s):

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Special Considerations:

Thank you for your request for private dog obedience lessons. Please make note of the following: 

 *All Services are by appointment only. 
 *There are no discounts on the cost of any services. 
 *Clients must pay for all services in advance. 
 *To cancel a private lesson YOU MUST CONTACT YOUR INSTRUCTOR DIRECTLY WITHIN 24 HOURS of your scheduled session. Failure to cancel within 24 hours will result in you being charged for the session. 
 *Clients who arrive more than 15 minutes late will be charged for the session. In addition, the instructor may cancel the session. 
 *Private lesson fees are subject to change.

 *Dog Obedience Assumption of Risk: 
 I agree to indemnify, defend and hold harmless, the Town and its officers, agents, and employees from any claims, dangers, and action of any kids or nature, whether at law or in equity, arising from my participation in the Town's Dog Obedience Class, provided that such liability is not attributable to the sole negligence of the Town. I realize that my participation in this activity involves risk of injury to my person, the youth registered on this form or my animal(s), including but not limited to being bit or mauled by animals, strains, sprains, scrapes, puncture wounds, scratches, scarring, rabies, kennel cough, fleas, tics, and even the possibility of death. Also, I recognize that there are many other risks of injury including serious and disabling injuries, which may arise due to my participation in this activity, and that it is not possible to specifically list each and every individual injury risk. By submitting this form I desire, consent and voluntarily choose to take part in all such activities. Knowing the material risks and appreciating, knowing and reasonably anticipating that other injuries and death are a possibility, I assume all the risks normally incident to the nature of the activities and agree that the Town or any of its officers, agents, and employees conducting such activities will not be responsible for any damages or injuries resulting to me, my animal(s) or any minor under my guardianship. Also, I understand that any injury incurred and the resulting medical expense from that injury will be my responsibility and the Town will not be responsible for any related expenses. By submitting this form, the participant and/or guardian of the youth registered on this form authorizes him or her to participate in the Dog Obedience Class and signifies agreement to all terms as stated above. I also understand and agree that any child under the age of 16 years of age must be accompanied by an adult. The Town of Leesburg Parks and Recreation Department reserves the right to terminate training services of any pet at any time for any reason.
 I understand that for the safety of all pets and participants, proof of current vaccinations (rabies, parvo, distemper and para influenza) must be presented prior to the beginning of the first class in order to participate.
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