CCDTC Agility Class Registration Form

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Complete the form below to register for a class.

First and Last Name *

Dog's name, age, breed *

Class Name *

Class Start Date
*

YYYY

Class Start Time *

Time

Cost *

$120- Nonmember 7 week class

$70- Nonmember 3 or 4 week class

$105- Additional class for same dog in same calendar year

$100- Rescue dog first class

$30- Member 7 week class

$20- Member 3 or 4 week class

Email *

Phone number *

If trainee is under 18 yrs of age, enter name of parent or guardian who is authorizing

I confirm that I have read and agree to the guidelines at this link required reading
*

Yes

Required

Class confirmations will be e-mailed or called shortly before starting date.

Release
By submitting this Registration form, I hereby release and agree to hold harmless the Clermont County Dog Training Club Inc., its instructors, trustees and officers from any personal injury or damage or injury to any dog owned by me, including any liability, cost or expenses associated with the foregoing, arising-out-of, or during training classes sponsored by CCDTC, inc.

In addition, I understand that it is my responsibility as a trainee to keep my dog(s) under control at all times before, during, and after classes, and to refrain from the use of harsh or abusive training methods at any CCDTC Inc. activity. Failure to comply with the above may result in loss of training privileges and forfeiture of monies paid.

I have read the above statement (check YES)

YES

Required

Vaccination Compliance -

I confirm my dog is vaccinated against rabies per Clermont County Law (by 6 months of age).

YES

Required

Click Submit below. At next window see link to make PayPal payment. *

OK Paypal

Required

Submit

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