K9 Nose Work® Class Registration
AFTER COMPLETING THE FORM PLEASE SEND CHECK TO:

DOG-GONE FUN
K9 Nose Work REGISTRATION
203 BERRY GARDEN ROAD
KERNERSVILLE, NC 27284

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.

Email address *
K9 Nose Work® Class Information
* All classes last one hour
* All classes (unless otherwise noted) are $100.00 for 4 weeks
* Instructor: Nancy Osborne, CNWI
Introduction to K9 Nose Work® Class
Continuing K9 Nose Work ® Class
Intro to Odor K9 Nose Work® Class
ORT Prep Class
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
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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