• Class Application for JCAC Instructors & Designated Officials

    Will reopen August 17, 2026
  •  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
     - -
    2 digit month, 2 digit day, 4 digit year
  • Instructor's / Official's Information

    One form per HANDLER please!!
  • 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
    Rows
  • Course Classes

    Spots are limited.
  • Course Class Wed.
  • Course Class Wed Dog Info
    Rows
  • Course Class Thurs.
  • Course Class Thurs Dog Info
    Rows
  • 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.

  • *   

  • Instructor's /Designated Official's Fees

  • Class Fees

    JCAC Members:  $100 / dog for the 1st dog; $85 / dog for subsequent dogs
    Non-members:  $125 / dog
    Jr. Handlers  $45 / dog

    Jumping Bucks

    NOTE: If you wish to use Jumping Bucks towards your fees, please select "Check" as your payment option.

     

  • Class Fees*
    Rows
  • # of Classes Teaching this Session*
  • Payment -

    If the Total Owing is $0 or returns a negative amount, select Not Applicable below. 


    If you are using Jumping Bucks, please select Check below and be sure to enclose them with your payment.

  • How do you wish to pay?*
  • Check Payment

  • Mail check and Jumping Bucks to:

    JCAC Training Director

    3641 W. Aire Libre Ave., Phoenix, AZ 85053

  • PayPal Fee*

    prevnext( X )
    USD
  • Should be Empty: