Novice/Advanced Rally O (Step 2):  Fridays, 6:00 to 7pm,  March 22/29, April 5/12 /19, 2024 ( 5 classes) $150.00(tax in)  
Please read & fill in the form completely.  

Registration is based on first paid and registered = first served. Do not fill out this form unless your Fee stated above will be immediately sent after submitting this form. Fee is to be paid directly after finishing this form by etransfer to campbellriverdogfanciers@gmail.com  Consider your auto-emailed copy of this form and your payment as your confirmation. 

You will be contacted directly by your instructor by email a few days before class start to provide you any final details and instructions.

Classes are held at the Campbell River Dog Fanciers Training Hall,  2566 South Island Hwy, located at the rear of the parking lot, up the stairs. Please park on the Vet clinic side of the parking lot.

If you are feeling ill, please do not attend. Let the instructor know you will be absent by email.

By attending class you have released CRDFS from any liability and those related to the transmission of COVID-19. Class follows any current provincial health guidelines.

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Email *
Name (First and Last of Handler) *
Phone number *
Dog's Name *
Breed of your dog *
Dog's Birthdate *
Do you or or your dog have any prior experience?  *
Current Vaccinations *
Required
Full Address including City  & Postal Code *
Handlers age *
I understand an adult must accompany anyone 18 and under *
Required
Is the Handler under 19 years of age? *
Accompanying Adults Name (First and Last)
I understand all students must be able to fully control their dog at all times *
Required
How did you learn about our classes? *
Required
Are you a current CRDFS member? *
AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK
I understand that attendance of a dog training class is not without risk to myself, members of my family or guest who may attend, or my dog, because some of the dogs to which I 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 the CAMPBELL RIVER DOG FANCIERS SOCIETY (CRDFS) hereinafter referred to as the "Training Organization", it's employees, officers, members, and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training ground or the surrounding area thereto.
In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members, 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 Training Organization, or while on the ground or the surrounding area thereto as a result of any action by any dog, including my own.
When attending CRDFS classes you are confirming that you are complying with the current public health order.
 *
Required
I agree that I will send my Fee directly after submitting this form.  *
Required
A copy of your responses will be emailed to the address you provided.
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