Elf Agility Workshops
Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: 0000 000 0000.
Dog 1
Date Attending
*
October 2nd (Grids)
October 16th (Weaves and SS)
November 6th (Grids)
November 13th (Weaves and SS)
December 4th (Grids)
December 18th (Weaves and SS)
January 8th (Grids)
January 22nd (Weaves and SS)
February 12th (Grids)
February 19th (Weaves and SS)
March 5th (Grids)
March 19th (Weaves and SS)
Dog's Name
*
Dog's DOB
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
If rescue or unknown put best guess
Dog's Breed
*
Dog’s Height
*
Please Select
Small (<350mm)
Medium (350mm<430mm)
Intermediate (430mm<500mm)
Large (500mm<)
Preferred time of day
*
Morning (before 11am)
Afternoon (11am-3pm)
Evening (3pm-7pm)
Additional information including any issues you wish to address
Dog 2
Date Attending
October 2nd (Grids)
October 16th (Weaves and SS)
November 6th (Grids)
November 13th (Weaves and SS)
December 4th (Grids)
December 18th (Weaves and SS)
January 8th (Grids)
January 22nd (Weaves and SS)
February 12th (Grids)
February 19th (Weaves and SS)
March 5th (Grids)
March 19th (Weaves and SS)
Dog's Name
Dog's DOB
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
If rescue or unknown put best guess
Dog's Breed
Dog’s Height
Please Select
Small (<350mm)
Medium (350mm<430mm)
Intermediate (430mm<500mm)
Large (500mm<)
Preferred time of day
Morning (before 11am)
Afternoon (11am-3pm)
Evening (3pm-7pm)
Additional information including any issues you wish to address
Dog 3
Date Attending
October 2nd (Grids)
October 16th (Weaves and SS)
November 6th (Grids)
November 13th (Weaves and SS)
December 4th (Grids)
December 18th (Weaves and SS)
January 8th (Grids)
January 22nd (Weaves and SS)
February 12th (Grids)
February 19th (Weaves and SS)
March 5th (Grids)
March 19th (Weaves and SS)
Dog's Name
Dog's DOB
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
If rescue or unknown put best guess
Dog's Breed
Dog’s Height
Please Select
Small (<350mm)
Medium (350mm<430mm)
Intermediate (430mm<500mm)
Large (500mm<)
Preferred time of day
Morning (before 11am)
Afternoon (11am-3pm)
Evening (3pm-7pm)
Additional information including any issues you wish to address
Additional information including any issues you wish to address
I accept that myself and my dog are taking part at our own risk and I am solely responsible for my, my dogs and my belongings safety. I am also responsible for my dogs behaviour at all time while on site.
*
Accept
I have read, understood and agree to the Terms and Conditions and Arena Rules.
*
I have read, understood and agree
Terms and Condtions and Arena Rules can be found here
I accept that the information I have provided above will only be used as a record of me and my dog and to contact me via email in relation to the events I have selected above and will not be passed on to any third parties - Please check your spam/junk folder for emails from elfequineandcanine@gmail.com and ensure you allow emails from this address to avoid missing important updates.
*
Accept
I agree to pay in advanced via BACs
*
Agree - Account Name: Sarah Hill, Account Number: 43678807, Sort Code: 52-41-20, Reference: ‘your name’ WS
Submit
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