Beginner 1, Thursday 10:00am
Class registration, Session 2B, August 2023
Handler's Name
*
First Name
Last Name
Paws4Fun Member?
*
Yes
No
Sorry, this class is not yet open for Member Registration
Sorry, this class is not yet open for Non-Member Registration
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 Breed or Description:
*
Dog's Date of Birth:
*
-
Month
-
Day
Year
Date
Dog's Jump Height:
*
Please Select
unknown
4"
8"
12"
16"
20"
24"
At what level do you currently compete with this dog?
*
I do not compete with this dog
Starters
Advanced
Masters
Does your dog behave well when interacting with other dogs and people?
*
Yes
No
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:
Anything else you would like note:
I understand that I will be contacted with a confirmation of acceptance to the specified class, and that payment is not to be sent until confirmation is received per the instructions in the confirmation email:
*
YES
Back
Next
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
Rabies Vaccination Statement
Confirmation and Payment Agreement
I understand that payment is not to be made until I have received email confirmation of my acceptance into class. I understand that if Paws4Fun does not receive my payment within 14 days of sending confirmation, my spot will be made available to the next person on the waiting list. I understand that if I lose my spot due to lack of payment with the required time perios, I may chose to complete a new registration form to be added to the waiting list for the class.
By entering my name here I acknowledge that I have read and agree to the "Facility Waiver & Release", "Rules of Conduct", "Rabies Vaccination Statement", and "Confirmation and Payment Agreement" above
*
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: