Dog Training Waiver & Vaccinations - Life with Special Needs Dogs

This form must be completed for each dog and each adult participating in Training classes. Children will be covered under the parent’s waiver.

"*" indicates required fields

Name*

First Last

Phone*

Current Vacinnations*

Required vaccinations: Distemper, Bordetella, Rabies. Please submit a copy of vaccination record below.

Yes, copy submitted below

Yes, will bring copy to first class

Upload current vaccination record

Please upload a jpg, png or pdf of your dog’s current vacinnation record from your vet.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

Electronic Signature

Type your full name below to complete the Electronic Signature as your acknowledgement, consent to and agreement to the Waiver, Vacinnation Record and Release both as an individual and/or as a parent or legal guardian of the participants.