Registration Form Private Lesson - Atlanta's Dogwood Obedience Group, LLC

Registration Form – Private

Don’t forget to send your dogs shot records via one of the methods below. When records are received, a staff member will contact you to discuss price and schedule your lesson.

SHOT RECORDS: All records must include vet’s name and when shots are next due. Handwritten puppy record is not acceptable. E-mail Photo or PDF file of Records

The fee charged will be determined by the instructor. Payment of cash or check will be made to the instructor at the time of your lesson.

Please e-mail ADOG if you have any questions.

All of the information provided is considered confidential and is not shared with any other company or mailing list. Review your information carefully before clicking “Submit.”

Handler Information

Handler First Name:(Required)

Handler Last Name:(Required)

Age REQUIRED IF Handler is under 18:

Best Phone #:(Required)

Email:(Required)

Best Way to Reach You (Note: ADOG announcements only are distributed via email.):(Required)

Lesson Information

Lesson Details:(Required)

Private lessons are meant to cover your needs. In order to match you with the correct instructor, please tell us what problems you are currently having and what you would like to cover in your private lesson. Please be specific.

Day / Time Requested:(Required)

We hold classes Monday through Thursday evenings so private lessons can not be scheduled for that time. Lessons can be scheduled during the day or on weekends only. What Days and Times are You Available for Your Lesson?

Dog Information

Dog Call Name:(Required)

Breed:(Required)

Sex:(Required)

Veterinarian Info

Veterinarian's Name:(Required)

Veterinarian's Phone:(Required)

You must send your dog's record of most recent shots to train@adog-ga.com

Vaccinations:(Required)

Additional Note (optional):

Check the box if you agree with and accept the conditions of the below Waiver of Liability and Hold Harmless Agreement. By selecting the box, you confirm that it has the same effect as your personal signature agreeing to the conditions of the above disclaimer.(Required)

I hereby waive and release Atlanta’s Dogwood Obedience Group, LLC (“ADOG”) and Ambassador Corp, its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training class, or any other function while on the training grounds or the surrounding area. In consideration of and as inducement to the acceptance of my application for training by ADOG, I hereby agree to indemnify and hold harmless the above from any and all claims, or claims by any member of my family or any other person accompanying me to any of the training activities or other sponsored functions, or while on the facility or neighboring area thereto as a result of any action by any dog, including my own.

No fees will be refunded for classes or events if ADOG cannot open or be completed by reason of riots, civil disturbances, fire, extreme and/or dangerous weather conditions, an Act of God, public emergency, act of a public enemy, strikes or any other cause beyond the control of ADOG.

In consideration for receiving permission to BE ON PREMISES at Atlanta Dogwood Obedience Group (hereinafter the “Activity or Activities”), I, on behalf of myself and any minor child/children for whom I have the capacity to contract, hereby acknowledge and agree to the following:

I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding COVID-19. I acknowledge and understand that that the circumstances regarding COVID-19 are changing from day to day and that, accordingly, the CDC guidelines are regularly modified and updated and I accept full responsibility for familiarizing myself with the most recent updates.

Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I hereby willingly choose to participate in Activities.

I acknowledge and fully assume the risk of illness or death related to COVID-19 arising from my being on the premises and participating in the Activities and hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE (on behalf of myself and any minor children from whom I have the capacity contract) Atlanta Dogwood Obedience Group, LLC, their owners, officers, directors, instructors, agents, employees and assigns (the “RELEASEES”) from any liability related to COVID-19 which might occur as a result my being on the premises and participating in the Activities.

I shall indemnify, defend and hold harmless the RELEASEES from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, the infection of COVID-19 or any other illness or injury.

It is my express intent that this Waiver and Hold Harmless Agreement shall bind any assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of GA. I HEREBY KNOWINGLY AND VOLUNTARILY WAIVE ANY RIGHT TO A JURY TRIAL OF ANY DISPUTE ARISING IN CONNECTION WITH THIS AGREEMENT. I ACKNOWLEDGE THAT THIS WAIVER WAS EXPRESSLY NEGOTIATED AND IS A MATERIAL INDUCEMENT THE PERMISSION GRANTED BY RELEASEES TO BE ON PREMISES AND PARTICIPATE IN THE ACTIVITIES.

IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Wavier of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.

I Agree / I Accept