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Registration Form
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Name
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SPOUSE/PARTNERS NAME
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First
Last
Address
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Line 1
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City
State
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Phone Number
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ALTERNATE PHONE
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Email
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DOG'S NAME
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SECOND DOG
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THIRD DOG
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BREED
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BREED
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BREED
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AGE
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AGE
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AGE
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GENDER
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Male
Female
Male Fixed
Female Fixed
GENDER
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Male
Female
Male Fixed
Female Fixed
GENDER
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Male
Female
Male Fixed
Female Fixed
VET RECORDS
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Max file size: 20MB
Upload latest Vaccination Records if you have them available. Or email to info@jabuladogs.com
VET RECORDS
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Max file size: 20MB
VET RECORDS
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Max file size: 20MB
TELL US ABOUT YOUR DOG/S
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SECOND DOG (if applicable)
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THIRD DOG (if applicable)
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DESIRED TRAINING OUTCOMES
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HOW DID YOU HEAR ABOUT US
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PREFFERED METHOD OF CONTACT
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Phone
Email
Text
ASSUMPTION OF RISK AND WAIVER OF LIABILITY ASSUMPTION OF RISK. The undersigned is aware of the inherent risks of injury, death, and property damage to the undersigned or to his or her dog that are involved in the activity of training/boarding, including without limitation risks due to dog bite or infectious disease. The undersigned is aware of the risks of injury, death, and property damage that may result from, among other causes, the active or passive negligence of JABULA LLC, owners, officers, directors, employees, or agents, owner of the building which houses JABULA LLC. training/boarding facility. Facility (the “PREMISES”) located at 2770 E. Ponce De Leon Ave,Decatur, GA 30030 and it’s owners, officers, directors, employees or agents,(hereafter referred to as the RELEASED PARTIES), including without limitation the risk of negligent instruction or supervision. The undersigned is voluntarily engaged in training/boarding as an activity with knowledge of the risks of injury, death, property damage, and other risks, and assumes any and all known and unknown risks of injury, death, and property damage that may result from participation in training/boarding. RELEASE OF LIABILITY. The undersigned releases RELEASED PARTIES from all liability to the undersigned and the undersigned’s representatives, guardians, successors, assigns, heirs, children, and next of kin for all liability, claims, damage, or demands for personal injury, death, or property damage, to the undersigned or to the undersigned’s dog or dogs, arising from or related to this agreement or to participation in training/boarding, whether the injury, death, or property damage occurs on or off the PREMISES. This release includes, without limitation, any personal injury, death, or property damage caused by the active or passive negligence of any of the RELEASED PARTIES. The undersigned bears sole responsibility for any loss. KNOWING AND VOLUNTARY EXECUTION. The undersigned acknowledges that he or she has carefully read this agreement, understands its contents, and understands that this agreement includes an assumption of the risk of the RELEASED PARTIES’ negligence and a release of their liability. The undersigned acknowledges that the RELEASED PARTIES are materially relying on this waiver in allowing the undersigned to use the PREMISES to engage in training/boarding.
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Please note that once you have hit submit and completed the Recapta, your form has been sent. There is no confirmation of your form having been submitted. We are aware of the issue and working to resolve it.
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About
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Registration Form
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Price Menu
