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Agility Competition Prep Registration Form |
Registration forms must be returned to:
Best Friends Obedience, Inc. 324 South Main Street Versailles, KY 40383 (859) 259-0079 maryann_bfo@yahoo.com |
Please print this form, fill it out, sign the bottom, and mail back to above address to hold you a spot in class.
Class Beginning:_________________________
Class Location: All Creatures Inn
Class Fee:____________________
Name of Person Training Dog (Name you like to go by):______________________________________________
Address:____________________________________ City:________________________
Zip Code:____________
Home Phone:_________________ Business Phone:_________________
Email:______________________________
Call Name of Dog:______________________________ Breed:__________________________
Age:__________
Sex:_____________ Age Obtained:__________________ From Where:__________________________
What titles does your dog have?_______________________________________________________
When were they obtained?________________________ Where:_____________________________
Where have you trained a dog before?_______________________________________________
Is your dog reliable off leash?____________ Comes when called?___________ Stays with you?___________
What are your goals for this class?____________________________________________________
Do you have any hearing or other physical handicaps?_________________________________________
Does your dog have any physical problems or disabilities which may
affect his training?______________________
Are you aware this training requires strenuous physical activity?___________________
Name of Veterinarian:______________________________ Date of last
Vaccinations:_____________
How did you hear about our classes?__________________________________________
I understand that attendance of a dog training class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.
I hereby waive and release Best Friends Obedience, Inc., the employees, owners and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session or other function of the School, or while on the training grounds or the surrounding area thereto.
In consideration of and as inducement to the acceptance of my application for training membership in this agility training class, I hereby agree to indemnify and hold harmless this School, the employees, owners and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or function of the School or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.
Signature of Owner or Authorized Agent _________________________________________________Date ____________
