Fargo-Moorhead Kennel Club, Inc

Canine Academy Registration AGILITY SKILLS CLASS

SESSION 1 Jan 6 - Feb 16 2025

Nonrefundable class fees are due first class

FMKC Calendar

No experience necessary. The exercises will be based on students level and what they would like to improve on. Open to brand new students as well as those that would like additional time working weaves or perfecting the skill.

Please do not use autofill Note no class days on schedule or calendar

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Breed of dog: *

Age of dog: *

Pet's name: *

Has your pet been excused by any training facility for behaviors? *

yes

What are your training goals for your pet? *

Better behaviors

Continue to improve on basics

I plan to compete in Agility

Select one class. For additional dogs start a new form. No class Oct 11 & Nov 15 * 🛈

Agility Skills Class - Weaves Friday 6:30 pm (6 remaining)

Age: Only if handler under 18 🛈

Are you an FMKC Member? ....... Y if true 🛈

I have read and agree with Fargo Moorhead Kennel Club Waiver of Liablity and Informed Consent. All statements and questions by answered by me are true. *

Yes

Your typed signature: * 🛈

Waiver of Liability and Informed Consen

LIABILITY WAIVER: On behalf of myself, my heirs, executors, administrators and assignees: I hereby waive and release any and all rights and claims for damages which I may have against the Fargo-Moorhead Club, its Board of Directors, Officers, Members, Training Director and Training Staff, as well as any others connected with this class or event, their heirs, executors, administrators, successors, and assignees for any and all injuries which I and/or any member of my family and/or friends, or my pet may suffer or cause while taking part in this class or event or as a result thereof. I consent that photographs taken while involved in Fargo-Moorhead Kennel Club activities may be used or reproduced by the Fargo-Moorhead Kennel Club for educational promotional purposes, including news media and publications.

Hereafter, the American Kennel Club will be referred to as AKC
Hereafter, Fargo-Moorhead Kennel Club, Fargo, ND will be referred to as Site
Hereafter, Fargo-Moorhead Kennel Club (FMKC) will be referred to as Club

I hereby indemnify and hold harmless the Site, and the Club, their owners/board members, employees, assistants and volunteers from any and all claims by or liability to any third party arising out of my participation in the Site and Club event. Any liability to anyone for any incident involving myself, the location, or those pets or actions of other participants and spectators will be my sole responsibility and I assume all financial liability and will also assume all and any financial costs associated with my actions.

PARENTS ARE RESPONSIBLE FOR THE SUPERVISION OF ANY CHILDREN IN ATTENDANCE DURING TRAINING CLASSES. CHILDREN ARE WELCOME TO ATTEND BUT MUST REMAIN SEATED IN THE SEATING AREA.