JCAC Class App

Class Application for JCAC Instructors & Designated Officials

Effective Sept 2025
NOTE!

This application form is to be used only by INSTRUCTORS or other designated JCAC club officials.

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

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

Classes that are FULL, are labelled FULL!
Date*

MonthDayYear
Session

September 22/25
Instructor's / Official's Information

One form per HANDLER please!!
Name*

First NameLast Name
Telephone*
Email*
example@example.com
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.

Class Registration

Course Class Wed Dog Info

Course Class Thurs Dog Info

Do Not Select - For Forms Editor's Use ONLY - Class MASTER List
Only one regular class per dog pls with one exception: you may select a Distance class at the same time with the same dog.
Comments
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.
I have read and agree with the collection and use of my personal information as outlined above.*

Yes.
Signature*

Class Application for JCAC Instructors & Designated Officials