Owner's Name 
Home Phone     Cell Phone 
Email Address  
Street Address  City/Zip

If you are signing up for a working spot and will be bringing your dog, please fill out the following information:
Dog's Name              Age
Breed     Male  Female    Spayed/Neutered?

Class Info
You are enrolling in Lori Steven's TTouch Workshop.  This class will meet on February 5th, 2011 from 9am-4:30 pm.

TTouch workshop with dog: $149
TTouch workshop without dog: $125

Payment Information
I will mail a check to Fuzzy Buddy's at 10907 Aurora Ave N, Seattle, WA  98133.  I understand my spot will not be reserved until my payment is received.

  will pay via Paypal.

I will call in my credit card information directly to Fuzzy Buddy's at
(206) 782-4321.  I understand that my spot will not be reserved until my payment is received.


Terms and Conditions
Refunds or credits will be granted only for students who withdraw at least two weeks prior to the workshop (less a $10 handling fee).  No refunds or credits will be granted after that point.

All dogs attending classes with their handlers should be up to date on all vaccinations deemed necessary by their veterinarian.

A class environment is not healthy or suitable for all dogs.  This workshop requires that dogs in attendance be friendly to other dogs and to people.  If your dog displays reactivity or aggression toward people or other dogs, or is disruptive in class, (s)he may be dismissed from the class and no refund will be granted.    If you have questions or concerns about this whether your dog is suitable for this workshop, please contact Lori Stevens directly prior to enrolling.

I am aware of the risks from handling animals include property damage or injury
to myself, to my animal(s) or to members of my family.  In consideration of being permitted to enroll in the above class, I do assume full responsibility for any actions of my dog and agree to hold harmless and indemnify any person associated with Dana Mongillo, Fuzzy Buddy's, and Lori Stevens.

I have read, understand, and agree to the above.
Signature:
Date: