Class Registration Form

Are you a Cactus K9 Member?*

YesNo

Special Note: Members receive a 10% discount off all classes, seminars and other educational events.

Name*

First NameLast Name

Email*

example@example.com

Cell Number*

Please enter a valid phone number.

If you are new to Cactus K9 Club, how did you hear about us?

If you are signing up for an intro level class, can you please tell us about your previous dog training experience? (please disregard if you are currently taking CK9C classes)

Can you tell us a few things about your dog including previous training or anything you feel might be important to share for a class room setting.

Dog's Name*

Breed *

Age*

Please choose the appropriate box:*

Female (intact)Female (spayed)Male (intact)Male (neutered)

Which class are you signing up for? Please select from the drop down below.

Certification:

I hereby certify to the following facts and agree to the following terms:

I take full responsibility for my pet attending the event and will be in control
of my pet at all times
All the information contained in this registration and waiver is true and
accurate
My pet is not aggressive, and has not had incidents of biting
or shown aggression in the past
My pet has never caused bodily harm

Indemnification:

I am aware that during the course of my visit to the event, certain inherent risks are involved because I am attending with my pet, along with other attendees’ pets. In consideration for being allowed to attend the event with my pet, I acknowledge and voluntarily accept and assume full responsibility for any risks to me and my pet, and further agree I waive and release any and all claims that I may have against Cactus K9 Club, it‘s events, it’s organizer, the event facilities, any and all employees and volunteers of the aforementioned organizations and agree not to sue for losses, damages, expenses or fees which arise out of or result from, or are related to in any manner my attendance to the event.

BY SIGNING THIS WAIVER, YOU ACKNOWLEDGE AND AGREE THAT YOU WERE GIVEN AN OPPORTUNITY TO ASK ANY QUESTIONS ABOUT THIS WAIVER, TO DISCUSS ALTERNATIVES WITH EVENT ORGANIZERS, AND WERE GIVEN ADEQUATE CONSIDERATION FOR THIS WAIVER. YOU UNDERSTAND AND AGREE THIS WAIVER SHALL BE BINDING ON EACH PARTICIPANT AND THEIR RESPECTIVE HEIRS, LEGAL REPRESENTATIVES, SUCCESSORS, AND ASSIGNS, AND SHALL INURE TO THE BENEFIT OF THE EVENT ORGANIZERS.

Cactus K9 Club has my permission to use my photo/video and or that of my dog to promote dog sports on social media or on our website. I understand that no compensation will be provided to me.*

YesNo

Signature*

Guardians signature (required for anyone under the age of 16)

Date*

Date

Important! Please do not pay until you receive confirmation from the class coordinator.

Total Due