FARGO MOORHEAD KENNEL CLUB

SESSION 6 OCTOBER 1 - NOVEMBER 11 2023

Canine Academy Rally Obedience Registration

About AKC RALLY

AKC Rally Regulations

About AKC Virtual Rally

FMKC Calendar

CLASS DESCRIPTIONS

Nonrefundable class fees are due first class

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

Name: First & Last *

City *

State *

Phone Number (cell or home) 555-123-1212 *

Email Address *

How would you like to be contacted? *

Text

Email

Breed of dog: *

Age of dog: *

Pet's name: *

Is your pet reactive? *

yes

no

What are your training goals for your pet? *

Better behaviors

I plan to compete with my dog

Continue to improve on basics

Has your dog ever been excused from any other training facility for behaviors? *

Select one class. For additional dogs start a new form. * 🛈

Rally Beginner : Monday 12:00 pm (0 remaining)

Rally -Competition :Tuesday 7:30 pm (0 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 Consent form . All statements and questions by answered by me are true: *

Yes

Your electronic signature: * 🛈

Waiver of Liability and Informed Consent

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.

Further, 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.