Agility Registration Form
AFTER COMPLETING THE FORM PLEASE SEND CHECK TO:

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

For Ashley's Classes please make check payable to Ashley Allison
For Cheri's classes please make check payable to Dog Gone Fun
Please write "AGILITY" 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
PAYMENT NEEDS TO BE SENT IN PRIOR TO CLASS BEGINNING.

Agility Class Information
* Class start date and all classes subject to inclement weather. Weather dates will be determined by Instructor.

* Please note instructor's name with each class option.

*Class description can be found on Dog Gone Fun's website using this link: https://doggonefunnc.com/training/agility/

* All classes are one hour unless otherwise noted.

* Please note instructor's name with each class option.

*Handlers must be at least 16 years of age.

Please choose class(es) you wish to take *
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
Has your dog attended basic obedience classes either at Dog Gone Fun or elsewhere?
Does your dog have a complete understanding of Sit-stay, Down-stay, and coming when called?
WAIVER OF LIABILITY FORM-only sign if we don't have any on file from a previous class.
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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