Class Registration Mid/Lower Cape

Future class dates to be determined. For further information, send email to: info@companionanimalprogram.com

Please complete the form below and click the “Registration” button at the end to pay with PayPal for your 7-week course that begins Wednesday,April 16, 2025, at 7:30 pm. The class fee must accompany the application and is non-refundable.

NOTE: New training applicants should NOT fill out a CAP Training Application unless the Canine Good Citizen (CGC) Certificate is in hand.  You are free to send an email to info@companionanimalprogram.com to ask any questions or to request a CGC Evaluation.

Teams that do not pass CAP’s evaluation after week 7 are invited to repeat all or part of a subsequent 7-week class at no additional cost one additional time. All repeat classes are offered ONLY at our Upper Cape location where we have mentors and evaluators ready to assist in your training.

Name of Owner/Handler:

Phone Number:

Email

Address

Address Line 2

City

StateALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code

Name of your dog

Your dog's date of birth

Breed

Date of Rabies Vaccine

Due Date for Rabies Vaccine

Is your dog spayed or neutered?

YesNo

Why do you want to become a therapy team?

How did you find out about CAP and/or the CAP training classes?

Have you attended obedience classes or had private training classes?

YesNo

If Yes, please list obedience or training classes you have attended

Does your dog have an American Kennel Club Canine Good Citizen Certificate?

YesNo

Has your dog ever bitten a person or other dog?

YesNo

Is there any type of situation that bothers your dog, e.g., men with hats, people with umbrellas?

Does your dog have any experience with children?

YesNo

What is your dog's experience with children?

Do you or your dog have any physical limitations?

By filling out my name below, I am agreeing to the following Agreement and Release Statement. AGREEMENT AND RELEASE In consideration for participating in the Companion Animal Program’s (CAP) Training School, Visitation Program, or involvement in any other CAP activities, I agree as follows: 1) I certify that all information that I have provided and will provide to CAP is true and accurate and can be relied upon by CAP. 2) I represent that my animal has and will have up-to-date Rabies inoculations and those immunizations recommended by my veterinarian. 3) I am aware of the inherent dangers of handling dogs and other animals in settings with people and with other dogs and animals, and I recognize the importance of following safety rules in all situations. 4) I agree that while I am participating in CAP activities, I am solely responsible for the behavior, control and well being of my animal at all times. Therefore, I assume all risks related to CAP activities and release CAP, its officers, directors, members, agents or employees if an injury or damage occurs to me or my animal, whether foreseen or unforeseen, related to the activities, and furthermore save and hold harmless CAP, its officers, directors, members, agents or employees from any claim by me or my family or any other party arising out of my participation in the activities. 5) I assume responsibility for my physical fitness in regard to my ability to perform the functions required for CAP activities. 6) I represent that I have read and understand the contents of this Agreement and Release. Name:

Date