Canine & Human Training

Since 1999

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As the owner of:

______________________,

I hereby consent to medical treatment that is approved by
either Doug Becker or Deborah Havens (Doug's wife).
I commit by this notice to pay in full any medical fees that
are deemed necessary.

I understand that Doug Becker is an experienced and
caring dog trainer, however, there is always a chance of
mishap. Therefore, I hereby release Doug Becker and his
agents from any and all liability of any nature, including
injury or sickness to me, my family, or my dog. I expressly
assume the risk of any damage or injury caused by my dog
while being trained or boarded by Doug Becker.

Further, I have read and agree to abide by the policies and
prices as described on Doug's website:
CanineAndHumanTraining.com.


___________________________________________
Signed                                       Date