Agility Foundations Class Registration
Outdoor Season 2022
Handler's Name
*
First Name
Last Name
Paws4Fun Member?
*
Yes ($120)
No ($145)
Select Class:
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Foundations, under 1 years old, Tuesday 6:00 pm
Foundations, Monday 6:00 pm
Foundations, Tuesday 7:30 pm
Foundations, Tuesday 10:00 am
Beginner 1, Wednesday 10:00 am (starting July)
Beginner 1 & 2, Friday 5:30 pm
Pre-Starter / Starter, Tuesday 7:15 pm
AAC Snooker & Gamble Tamed, Wednesday 6:00 pm
Email Address:
*
example@example.com
Home Phone:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name:
*
First Name
Last Name
Emergency Contact Phone:
*
Dog's Name:
*
Dog's Date of Birth:
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-
Month
-
Day
Year
Date
Dog's Breed or Description:
*
Please tell us about your dog's previous training, and any concerns you may have about your dog or yourself in an outdoor, multi-dog, class environment:
Is your dog new to agility?
*
Yes
No
Are you planning to compete?
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Yes
No
Not sure
Payment will be sent via:
*
e-transfer to treasurer@paws4funagility.ca - question: Where are classes? answer: paws4fun
PayPal - using the PayPal button on the Paws4Fun Agility Club web site
Other (please describe in the comment box below)
Anything else you would like note:
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Agreements
Facility Waiver & Release
I agree that the organization (Paws4Fun Agility Club) has the right to refuse this application for cause which the organization shall deem to be sufficient. In consideration of the acceptance of the application and/or the provision of competition at the matches, I agree to hold the organization including its officers, directors and owner of the premises harmless from any and all claims for loss or injury which may be alleged to have been caused directly to any person or thing by the act of this dog while in or upon any club premises or grounds or near any entrance thereto, and I personally assume all responsibility and liability for any such claim. I further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury, be it caused or alleged to be caused by negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I herby assume the sole responsibility for and agree to indemnify the same afore- mentioned parties from any and all loss and expenses (including legal fees) by reason of liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting there from, sustained by any person or persons, including myself or on account of damage to property, arising out of or in consequence of my participation in any club event, howsoever such injuries, death or damage to property may be caused or may have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents or any other person.
Rules of conduct
I agree to abide by the Paws4Fun Agility Club Rules of Conduct as stated on the Paws4Fun web site - https://www.paws4funagility.ca/rules-of-conduct
By entering my name here I acknowledge that I have read and agree to the "Facility Waiver & Release" and "Rules of Conduct" above
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First Name
Last Name
Date
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Month
-
Day
Year
Date
Submit
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