Agility Class Application

Agility Class Application
Select class type
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Dog's Name
Breed
Sex
Age
Date of Last vaccines

MonthDayYear
You must provide proof of current vaccines or provide contact information for your veterinarian before participating in any activities at Speedy Paws.
Veterinarian's Name & Number
Has your dog taken any obedience or agility classes previously?
If yes please explain any strengths or weaknesses you had at that time
Has your dog ever exhibited aggression towards another dog or person? If yes please ensure that you understand our aggressive dog policy.
Are you having any specific training issues that you would like to address? If so please explain.
You will be asked to sign a Waiver of Liability on your first night of class.
Please enter the following code to submit your application
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