RALLY OBEDIENCE:Registration Form
Name:Address:
Home Phone: / Cell Phone:
Email Address:
Dog’s Name: / Breed:
Dog’s Age: / Sex: F M Spayed/Neutered: Y N
Does this dog require space from: Other Dogs People Both No Space Required
Provide a copy of your up to date vaccination records OR titer testing for your dog with this application
I am registering for:
□Fridays:April 8th, 15th, 22nd, 29thand May 6th 2016
□1 handler and 1 dog enrollment - $125.00 / □1 handler and 2 dog enrollment - $220.00
Method of Payment(Please make out cheque/money order to Kristina Sveinson):
□Cash □ E-transfer (send to ) □ Money Order □PayPal
(If paying by E-transfer, send registration by email to same email address)
Email Entry to: mailto:
or Hand Deliver To: Ryan Williams 124 Duckering Close, Red Deer, AB. T4R 2Z4
Additional Info
1.Have you trained in Rally Obedience before?
2. Have you attended any basic training/Obedience training? Y N
3. Do you have any training goals and what are they?
AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK
I understand that attendance at a dog training workshop, function, or event is not without risk to myself, to anyone accompanying me or to my dog(s). Some dogs may be difficult to control and may be the cause of injury, to persons or other dogs, even when handled with the greatest degree of care and precaution.I hereby waiveKlassic Kennels, Ryan Williams and associates from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, by without limitation, any injury or damage resulting from the act of any dog or employee. I expressly assume the risk of such damage or injury while attending any training session, or any other function of this Training Organization, or while on the training grounds or the surrounding area thereto, used.
In consideration of and as inducement to the acceptance of my application I hereby agree to indemnify and hold harmless this Training Organization, its employees, members, and agents from any and all claims, or claims by any member of any family or any other person while on the grounds or surrounding area thereto as a result of any action by any dog, including my own.
All vaccinations must be current prior to attendance.
Signature:______Date:______