Focus Forward/Startline Stay Workshop - March 7
with Nancy Chwiecko
Full Name
First Name
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Last Name
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Email Address
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Cell Phone #
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Dog Information
Dog Name
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Dog Age
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Workshops
Please check the workshops you wish to attend
Sat Mar 10 am
Working Spot $85 (8 working teams, 10am - 12:30pm)
Final Payment
Payment by CASH or CHECK is required upon confirmation of your registration. In the event that the team withdraws from a seminar, Power'd Up will attempt to fill the vacancy. If we are able to fill the spot, you will be refunded your cost less a $30 handling fee. If we are unable to fill the spot, no refund will be granted.
Waiver
Owner agrees to release POWER'D UP AGILITY LLC from all liability for any loss, damage or injury to persons, animals or property arising from or related to Owner's pet. Owner agrees that POWER'D UP AGILITY LLC shall not be liable for loss or damage to animal for any reason. POWER'D UP AGILITY LLC is fully insured through The Hartford (Sportsman Insurance Agency). By clicking submit on this form, you fully agree to this waiver of liability.
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