Fargo-Moorhead Kennel Club, Inc

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

Canine Academy Obedience CLASS REGISTRATION FORM

COVID precations: Do not enter the bulding before your class time.Read FMKC COVID policy www.fmkennelclub.com

Masks are required. Follow signs and directions.

SESSION 6 CLASSES October 12 - Nov 12 2020

All classes require preregistration.

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

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? *

Select one class. For additional dogs start a new form. DO NOT COME EARLY - USE APPROPROATE DOOR - MASKS ARE Required - STAY HOME IF ILL *

Rally Beginner Monday 12:00 - 1:00 pm (1 remaining)

Competition Utility Tuesday 5:30- 6:30 pm (0 remaining)

Competition Obedience Tuesday 6:45 - 7:30 pm (0 remaining)

Advanced Obedience Tuesday 7:45 - 8:30 pm (0 remaining)

Basic Obedience Wednesday 11:15-12:00pm (1 remaining)

Rally -Competition Wednesday 5:30 - 6:15 pm (0 remaining)

Beginner Obedience Thursday 5:45-6:30pm (0 remaining)

Canine Good Citizen Thursday 6:45- 7:30 pm (1 remaining)

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: * 🛈