Elf Agility Workshops
Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Dog 1
Date Attending
*
October 10th (Grids)
October 17th (Weaves and SS)
November 7th (Grids)
November 21st (Weaves and SS)
December 12th (Grids)
December 19th (Weaves and SS)
January 9th (Grids)
January 23rd (Weaves and SS)
February 13th (Grids)
February 20th (Weaves and SS)
March 20th (Grids)
March 27th (Weaves and SS)
Dog's Name
*
Dog's DOB
*
-
Day
-
Month
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
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog 2
Date Attending
October 10th (Grids)
October 17th (Weaves and SS)
November 7th (Grids)
November 21st (Weaves and SS)
December 12th (Grids)
December 19th (Weaves and SS)
January 9th (Grids)
January 23rd (Weaves and SS)
February 13th (Grids)
February 20th (Weaves and SS)
March 20th (Grids)
March 27th (Weaves and SS)
Dog's Name
Dog's DOB
-
Day
-
Month
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 10th (Grids)
October 17th (Weaves and SS)
November 7th (Grids)
November 21st (Weaves and SS)
December 12th (Grids)
December 19th (Weaves and SS)
January 9th (Grids)
January 23rd (Weaves and SS)
February 13th (Grids)
February 20th (Weaves and SS)
March 20th (Grids)
March 27th (Weaves and SS)
Dog's Name
Dog's DOB
-
Day
-
Month
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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