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  • Class Application

    September 2025
  • To edit this form:

    Page 1

    a) Date Field - change the conditions for the date fee which affect when the late fee takes effect for the current class session.

    b) Change Session Starting to whatever the new session is. Change the Select by Default to the current session. DON'T delete the data in this field as that will affect forms that have been filled out.

    Page 2 Fees
    a) Update the text at the top of this page re: when the late fee takes effect.

    Page 3 - PayPal Payment

    a) Change the label in the sub-box payment field to whatever the date of the new session is.  This is captured by PayPal and helps the treasurer identify the funds coming into PayPal for accounting purposes.

     

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    One form per HANDLER please!!

    You can register more than 1 dog but the handler must be the same for all dogs.

     Please do NOT use this form to apply for:

    1. Foundation and Relationship classes
    2. If you are an Instructor or designated club official.

    There are separate forms for these categories that can be found on our website. 

     

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    NOTE!

    Some classes such as Distance classes, Intermediate 2, 3, Novice, and Advanced on Thursday fill up very quickly.

    To enroll in Distance or Course classes, your dog must be at the Novice level or higher.

    To enroll in the Distance classes, you must obtain the permission of the instructor.

    A late fee of $10 is added for each dog for registrations submitted within 2 weeks of the Session Start Date. So register early!

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  • Hander's Information

    One form per HANDLER please!!
  • NOTE: JCAC members receive discounted class fees. To join or to renew your membership in Jumping Chollas, first go to our website for more information or apply online and then return to this form.

  • NOTE: Jr. Handlers 15 years and younger are required to have a Parent or Legal Guardian accompany them and stay with them for the duration of each class.

  • Dog Info & Class Choices

  • If a class is labelled FULL, pls do not sign up for it.  

    To enroll in Distance or Course classes, your dog must be at the Novice level or higher.

    To enroll in the Distance classes, you must obtain the permission of the instructor.

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  • Course Classes

    Spots are limited.
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  • Waivers and Agreements

  • Statement of Responsibility & Waiver of Liability

    I understand that:

    • agility training is an activity that is held in the presence of other dogs and their owners/handlers
    • the participation of my dog and myself in the agility training will require some physical activity on my part and on the part of my dog
    • this activity will involve running among obstacles on my part, and running, jumping, and the use of obstacles such as tunnels, scaling planks and walls, teeter totters, jumps, tires, and other obstacles which could result in injury to me, to my dog, or to others. 

    I agree, represent, and warrant that:

    1) I am in good health and can perform the physical activities necessary.

    2) My dog is in good health and can perform the physical activities necessary.

    3) My dog and I are both in physical condition to participate in the sport of dog agility.

    4) My dog is friendly and not a hazard to persons or other dogs.  I agree to take any steps requested by my instructor, the class coordinator or the training director if they feel that my dog is a hazard to persons or other dogs.

    5)  I agree to keep my dog under control at all times, to carefully watch him at all times when he is not confined to a crate or other similar device, and not to allow him to interfere with the participation of others in classes and other club activities.

    6) I and my dog are participating at my own risk, and that Jumping Chollas Agility Club cannot in any way assume any responsibility for the health or safety or myself or my dog(s).

    7) I will not hold Jumping Chollas Agility Club, its Board of Directors and officers, the Owner(s) of the training sites, the agility instruction staff, or any other persons or entities associated with Jumping Chollas Agility Club liable for any loss, injury, illness, expense or other incident or hardship that may arise in connection with my participation and/or my dog’s participation in the activity.

    8) I further agree to assume full responsibility and liability for any and all injury or damage caused in any way by my dog(s) or myself.  That I further agree to reimburse any person for any damage that I or my dog does or cause to another person, dog, equipment, or personal or business property.

    I understand that, as a student or instructor training with Jumping Chollas, I have an obligation to help with equipment.  In particular, if I attend the first class of the morning or evening, I must arrive at the designated time and help set up the equipment.  I must help change jump heights during class.  If I come to the late class, I must stay after class and help put the equipment away.

  • Collection and Use of Personal Information

    The Jumping Chollas Agility Club Inc. [JCAC] collects personal data including name, address, telephone and email information and where appropriate, birthdate for minors, from this application for the purpose of club business related to classes. The JCAC does not and will not share, publish, sell, or distribute personal information to/with other organizations without the written consent of its members and clients.

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  • Fees

  • Class Fees (Effective Sept. 2025)

    JCAC Members:  $100 / dog for the 1st dog; $70 / dog for subsequent dogs
    Non-members:  $125 / dog
    Jr. Handlers  $45 / dog

    Jumping Bucks

    NOTE: If you wish to use Jumping Bucks towards your fees, please select "Check" as your payment option.

    Late Fees - 2025

    A $10 late fee  / dog is automatically added within 2 weeks of the class session start date. For the 2025 sessions, late fees will be applied as follows: 

    Effective:

    • September 8/25
    • March 24/25
    • January 27/25

     

     

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  • NOTE to webmaster / forms designer - change the date in the conditional statement pertaining to the Late Fee field.

  • PayPal Payment

  • prevnext( X )
    USD
  • Check Payment

  • Mail check and Jumping Bucks to:

    JCAC Training Director

    3641 W. Aire Libre Ave., Phoenix, AZ 85053

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