Fargo-Moorhead Kennel Club, Inc

Canine Academy Obedience CLASS REGISTRATION FORM

THIS REGISTRATION IS FOR SESSION 7 CLASSES Nov 4 - Dec 22 2019

All classes require preregistration.

Scent Work - Puppy Kindergarten - Puppy Dynamics - Puppy Field are on other forms.

This form is for registration. You will need to pay nonrefundable class fees by the second week, thank you.

Please do not use autofill

Name: First & Last *

City *

State *

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

Email Address *

How would you like to be contacted? *

Text

Email

Start date of class: (00/00/0000) * +

Select class. Only select one class. For other dogs please fill in sperate form.
If you get an "inventory" message on completing this form, that class is full but we can help. Please contact Luanne at lthorsvig.fmkc@gmail.com *

Competitive Rally Mon 5:30pm (1 remaining)

Competition Obedience Utility - Tues 5:45 pm (invitation only) (1 remaining)

Compitition Obedience 6:45pm Tues (1 remaining)

Advanced Beginning Obedience - Tues 7:30pm (0 remaining)

Beginning Obedience - Weds 6:30 pm (0 remaining)

Canine Good Citizen - Thurs 7:00 pm (4 remaining)

Intro to Rally - Thurs 6:00 pm (4 remaining)

Conformation Class Tues 8:30 pm Drop-In Only $10 per class

Breed of dog: *

Sex of dog: *

Age of dog: *

What are your goals for your pet? *

Pet's name: *

Is your pet reactive? *

yes

no

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

Age: Only if handler under 18 🛈

Are you an FMKC Member? Type in "yes" if true 🛈

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 KENNEL CLUB, INC., IT’S BOARD OF DIRECTORS, TRAINING DIRECTOR, TRAINING STAFF AND THE RED RIVER FAIRGROUNDS , AS WELL AS ANY OTHERS CONNECTED WITH THIS CLASS, TRAINING SESSION 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 , TRAINING SESSION OR EVENT OR AS A RESULT THEREOF.

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.

I have read and agree with the FMKC disclaimer statement . All statements and questions by answered by me are true: *

Yes

Your electronic signature: * 🛈

You will receive a confirmation email regarding your registration. We will only contact you if there are problems with your registration.

CLASSES ARE HELD AT:

Red River Valley Fairgrounds Expo Building

q ALL NONREFUNDABLE CLASS FEES MUST BE PAID NO LATER THAN THE SECOND WEEK OF CLASSES OR REGISTRATION WILL BE CANCELLED
Checks payable to FMKC should be brought to first class

NOTE Females in season (heat) are not allowed on the grounds or in any class. Notify your instructor of your absence.

Comments: