CLASS REGISTRATION FORM
Address Line 2:
City:
Phone  (Home):
Email Address:
Phone  (Cell 1):
Dog's Name:
Color:
Breed:
Class Selection, Length, & Fee:
MI:
Entry #:
(If registering multiple dogs, please number each entry here)
(See Class Schedule for class selection)
(See Class Schedule for upcoming session dates)
~ ~ ~ ~ ~ ~ ~ ~ ~ ~  ALL APPLICATIONS MUST BE SIGNED  ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
State:
Zip Code:
REQUIREMENTS – Dogs must be current on all vaccinations. Dogs must be on leash outside of training class. No loose unattended dogs. Prong collars are NOT permitted. NO abusive treatment. Appropriate footwear is required, soft soled shoes.

CLEANUP – Exercise dogs in designated areas. Scoop all poop thoroughly. Take poop with you or deposit it outside in receptacle designated for dog poop.

CHILDREN – Children not participating in a training class must be under the supervision of an adult at all times.

DISTURBANCES – Do not leave barking dogs in cars.

ATTENDANCE – Training builds each week on previous training. Participants should attend regularly to benefit from class. They should advise their instructor if they will be absent.

REFUNDS – After the 1st class of the session there are NO refunds. Credit will be given for another session if there is an emergency or if your bitch comes into season.


Class Dates:
MY DOG WAS VACCINATED AGAINST RABIES BY:
     I have read, understand and agree to abide by the rules stated above. I certify that my dog(s) participating in training have been immunized against rabies and DHL (Parvo recommended). I further certify that my dog(s) is/are in good health. I hold The Academy of Dog Training and Agility harmless from any and all liability, costs, and expenses arising as a result of this activity, including but not limited to, injury or death of my dog(s), bodily injury or death to any person, and damage to property of any kind.
Last Name:
Address Line 1:
Phone  (Cell 2):
Veterinarian's Name:
Date Given:
Tag #:
(Parent or legal guardian, Please sign full name in blue ink after printing, if applicant is a minor)
Digital Signature:
Mail registration form with check to:     The Academy of Dog Training and Agility
                                                      1845 Old Cooches Bridge Road
                                                      Newark, DE 19702
                                                      302-588-4636
Make checks payable to:     The Academy of Dog Training and Agility
Date:
Dog's Age:
Digital Signature:
Written Signature:
______________________________________________________________________
______________________________________________________________________
(Parent or legal guardian, Please type full name here, if applicant is a minor)
First Name:
Phone  (Work):
Date:
Written Signature:
(Applicant, please sign full name in blue ink here after printing)
(Applicant, please type full name here)
Print this form before mailing, so that you can send it in with your check!


Call Name:
(A separate entry is needed for each dog)
Send email to WEBMASTER@ACADEMYOFDOGTRAINING.COM
with questions or comments about this web site.
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