Level Obedience Registration Form
AFTER COMPLETING THE FORM PLEASE SEND CHECK TO:

DOG-GONE FUN
LEVEL OBEDIENCE REGISTRATION
203 BERRY GARDEN ROAD
KERNERSVILLE, NC 27284

Please make checks payable to Dog-Gone Fun
Please write "Level Obedience" and dogs name in memo section of check
PLEASE PRINT AND SIGN WAIVER (Link at the end of the form). SEND WAIVER IN WITH PAYMENT

Orientation Information
Location will be at the Dog Gone Fun training building
Please send in payment and signed waiver prior to attending orientation
Available Memberships
Gold Membership- 20 weeks of unlimited attendance in our levels obedience classes.
Includes 16 weeks of level obedience classes and your choice of either a 4 week Canine Good Citizenship prep class or an Out & About class. Plus 10% off Beginning Agility, Intro to Nose Work, or Intro to Dog Sports.
Tuition $360.00

Silver Membership- 16 weeks of unlimited training in levels obedience classes
Plus 10% off Beginning Agility, Intro to Nose Work, or Intro to Dog Sports.
Tuition $320.00

Bronze Membership- 8 weeks of unlimited attendance in levels obedience classes.
Tuition $180.00

Choose your membership below *
Handler First and Last Name *
Your answer
Handler Home Address *
Your answer
Best Phone number *
Your answer
E-mail address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Veterinary Office Name *
Your answer
Veterinary Office Phone Number *
Your answer
Dog's Name *
Your answer
Dog's Gender *
Dog's Age *
Your answer
Spayed/Neutered *
Dog's Breed *
Your answer
Color/Markings *
Your answer
Please disclose any incident of aggressive or threatening behavior. If none, put n/a *
Your answer
Please choose the orientation you wish to attend. *
WAIVER OF LIABILITY FORM
Using the link below, please print and sign the waiver of liability form. PLEASE SEND SIGNED FORM IN WITH PAYMENT. https://doggonefundaycare.files.wordpress.com/2018/02/dgf-liability-waiver.docx
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