Club Visitation Form

Blue Ridge Working Dog Club Visitor Registration

Complete the form below to sign up as a visitor of the Blue Ridge Working Dog Club
Name

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date:

MonthDayYear
Where did you hear about us?

FriendProtection Sports Association (PSA) website
Visitor Rules
1. Visiting is available to anyone 18 years of age or older.

2. Your dog(s) are current on all shots to include Bordatella. Have and will maintain an up to date rabies vaccination.

3. Will assume all liabilities of your actions and your dogs actions during visitation times.

4. Release any and all liabilities with the owners of 65 Hill Dr Fincastle, VA 24090 (Cameron and Kristina Carlisle).

5. Will maintain a positive attitude with zero drama with others in the club or visiting the club.

6. Will not video or photograph any other club member or visitor without the direct approval of that visitor or club members being videoed or photographed.
I have read, understood, and accepted the rules for visitation.
Once you submit your visitation form, you are welcome to join the Blue Ridge Working Dog club for training and visitation.

Thank you!
Should be Empty:

Blue Ridge Working Dog Club Visitor Registration