REVOLVING PUPPY ROMPER ROOM APPLICATION: PRINT CLEARLY

OWNER'S NAME: _______________________________________________________________


HOME PHONE:__________________________ WORK PHONE:_________________________


MAILING ADDRESS:____________________________________________________________


CITY:______________________________________ZIP CODE__________________________


EMAIL ADDRESS:______________________________________________________________


DOG BREED:________________________ AGE AT CLASS TIME:___________ GENDER: _______


Do you have a DVD player? ____________ If not, do you have a VCR?__________

Classes held Monday evenings at 7:30 PM
Be certain you can attend the class(es) you choose. If you cancel at least 2 weeks before the class starts,  you will receive a full refund. If you cancel with less than two weeks notice and someone fills your spot, you will receive a full refund. Once the Training Manual and Lecture DVD have been mailed, there will be NO refunds.You must sign the registration form that you have read and understand this policy before your registration will be accepted.
I have read, understand and accept the refund policy. Signature_______________________________________


Puppy Application fee: $60____  Additional weeks (prepay)   #of weeks _____ X $10 = _________

PLEASE MAIL PROOF OF CURRENT VACCINATIONS WITH THIS APPLICATION!
If you have any questions, please call 503-631-PAWS (7297)
MUST Make Check payable to: Cheryl Huffman (Checks made out to Smart Paws will need to be replaced)
Mail to: Smart Paws Academy
P.O. Box 1512
Oregon City, OR 97045-0015