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Registration Form Please print out and send to the address below. |
NAME:___________________________________________________________________________________________
ADDRESS:________________________________________________________________________________________
CITY/STATE:______________________________________________________________________________________
PHONE:________________________________________ EMAIL:________________________________________
DOG'S NAME:_____________________________________________ DOG'S AGE:_________________________
BREED OF DOG:___________________________________________________________________________________
DATE OF SEMINAR:____________________________________________
Pre-Registration IS required!
***INCLUDE A COPY OF CURRENT RABIES CERTIFICATE***
I understand that attendance of this dog class is
not without risk to myself, members of my family or guests who may attend,
or my dog. I hereby waive and release the Agility Club of Central
Wyoming, and its agents from any and all liability of any nature.
I assume the risk of attending this training class. I hereby agree
to indemnify and hold harmless the Agility Club of Central Wyoming, and
its agents from any and all claims resulting from personal injury or property
damage sustained by myself, any member of my family or any other person
accompanying me to a training session.
SIGNATURE:____________________________________________________________________________________________
