North American Working Pack Dog

North American Working Pack Dog

Enrollment Form
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dog's Name
Dog's Birthdate (if unknown, check with veterinarian for an approx age)

MonthDayYear
Date
Upload documentation of dog's age (reg. papers, vet cert on official letterhead)

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Dog Breed
Dog's Weight
My Products
prevnext( X )
One Time Enrollment Fee
This fee covers your FIRST division title. Additional titles/divisions will be $15 to help cover processing and awards.

$25.00

Total

$0.00
I will be beginning with the following level:

Beginner Puppy Novice (12 months min.)Beginner Dog Novice (18 months min)Novice Dog (24 months min)Intermediate Dog (24 months min)Hike Club level 1 (12 month min)Hike Club level 2 (12 month min)Hike Club level 3 (18 month min)Hike Club level 4 (18 month min)Hike Club level 5 (18 month min)
I acknowledge that I am participating in this program of my own free will and that I am responsible for selecting appropriate hikes for my dog and myself. I agree to hold harmless Tracey Westbury and North American Working Pack Dog.
Signature
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