JCAC Class App

Class Application for JCAC Instructors & Designated Officials
Applications for the November session will open October 21/24
Date

MonthDayYear
Date
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*

November 18, 2024
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.
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. Place your cursor/mouse on your first choice & click. To select a 2nd class press the CTRL key & click with your mouse.

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