In consideration of ___________________________________ and any designated helpers efforts to provide dog instruction and training, I, the undersigned participant/guardian, hereby and forever waive and release any and all of the aforementioned from any claim, lawsuit, or legal action for claim as a result of some supposed act or failure to act on the part of the instructor during the course of, or as a result of, his/her instruction and training. Further, I hereby direct any heirs or assigns to respect the intent of this document.

Notice is hereby given to any prospective dog training participant/guardian that dog training can be injurious to the participant and/or his/her dog and/or family or guests who may attend training sessions. Failure to follow prescribed training and dog handling guidelines in concert with instruction may result in serious injuries. Some such injuries, among several, are: dog bites, those caused directly by falls or twists; as well as emotional trauma caused by real or perceived threat of injury. Injuries sustained may result in permanent damage and disability or worsen existing conditions. Death could occur as a direct or indirect result of such injuries.

I, the participant/guardian, hereby acknowledge that I/the participant am/is responsible of my/his/her dog and hereby assume the risks of such responsibilities. It is further acknowledged that the instructor and/or designated helpers will not be visually observing me/the participant or my/his/her dog or other participants or other dogs at all times and, therefore, I/the participant must assume the responsibility for my/his/her own safety. I/the participant must remain alert and exercise common sense and judgment to safeguard myself/himself/herself and my/his/her dog as well as others and their dogs.At the beginning of this instructional program, I hereby acknowledge that I have been advised of the potential risks and have had the opportunity to ask questions and receive further elaboration of the risks involved and that I, the participant/guardian, freely accept and assume the risks.

It is hereby clearly stated that I, the participant/guardian, by signing this document, waive and release certain legal rights and that, should I sign this document, I have done so of my own free will, without coercion and with notice that I am entitled to seek legal counsel.

Date: _______________________