OAKVUE TRAINING KENNELS L.L.C.

28 Osage Rd.
Urbana, MO. 65767
1-417-993-9983
Oakvue@centurytel.net



Please Print


Name:____________________________________________Address:_________________________________________________


Phone #:__________________________________________City/State:________________________________________________


E-Mail Address:_____________________________________Occupation:______________________________________________

Where did you hear about Oakvue?______________________________________________________________________________

Dog Breed:______________________Dog’s Name__________________________Dog’s Age_______________________________

Number of people in your home and their ages:____________________________________________________________________

Do you have any other house pets?_____________________ How many and what type?____________________________________

Is this your first dog?_________________________________Have you ever trained a dog? _________________________________

Name of Veterinarian:___________________________Address:_________________________Phone #:______________________

Proof of Vaccinations/Dates:____________________________________________________________________________________



I agree to hold Oakvue Training Kennels L.L.C. and its agent/s and the owner of this premise harmless from any and all claims for loss or injury which may be sustained by me, or my dog or any member of my family as a result of my participation and attendance. I agree to be responsible for my dog’s actions at all times. Also, I certify my dog’s vaccinations are current.


Signature:______________________________________________________________Date:________________________________
 

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