Level 1&2 Combo Application - Warm Water Therapy & Training for Dogs

Application for The Heart of Canine Water Therapy
Customized Combination Level 1 and 2 Offered by La Paw Spa

Please fill out and submit this form after paying your class deposit.

Student Application Form

Date

Your Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Your Occupation

Your interest in this work:

Your interest/love of being in the water:

Do you like to give massage?

Yes

Do you like receiving massage?

Yes

Your other outside interests and hobbies:

Your inspiration for becoming interested in this path of service:

Your experience with dogs:

Your experience with people:

Do you like people?

The relevant classes you have taken:

Your physical health and condition - how much weight can you lift:

Any other comments or relevant information that you care to provide:

Your Dreams and Aspirations:

If you absolutely could not fail and you could have anything you wanted in life, how would you use your interest in canine water therapy? What would this business look like? Services offered? Dare to dream and write it here:

Select Your Class options for the Heart of Canine Water Therapy - Combination Level 1 and 2

The Heart of Canine Water Therapy - Customized Level 1 and 2 (Private).

The Heart of Canine Water Therapy - Customized Level 1 and 2 (Semi-Private: 1 or 2 People).

The Heart of Canine Water Therapy - Customized Level 1 and 2 (3+ People).

Meals & Lodging

I will be responsible for all of my lodging, meals, and transportation during class.

Agreement

I, the undersigned, am engaging Cindy Horsfall and La Paw Spa, LLC, for the purposes of providing me with instruction in Cindy’s experience of Canine Water Therapy. I understand that this class does not give me legal license to practice or satisfy any legal requirements of any kind. I further agree to release and hold harmless from any and all liabilities and will take these classes at my own risk. I understand that this is a release of all current and prospective claims and that I am of legal age to sign. I understand that upon receipt, Cindy will confirm availability and let me know. Should I need to cancel, I understand that all monies paid for class are non-refundable unless Cindy can fill my spot, unless otherwise noted.

Yes! Sign me up!

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