Class Registration

Class Name *

If class is not listed, choose OTHER and specify in the next field

OTHER Class

Instructor *

If Instructor is not listed, choose OTHER and specify in the next field

OTHER Instructor

Location *

Start Date *

Month Day Year

Fee *

Name *

Address *

City *

State *

Zip *

E-mail *

Best Contact Number *

Area Code Phone Number

Dog's Name *

Dog's Breed *

If mixed, which breeds?

Dog's Age *

Age Type *

Months Years

Dog's Weight *

What is the highest level your dog has a leg in, for this sport? *

Please check the level that this class is being offered for

Has your dog ever shown aggression toward other dogs? *

Yes No

Has your dog ever shown aggression toward people? *

Yes No

Is your Dog Current with ALL Vaccinations? *

Yes No

Does your Dog have a SOLID Recall? *

Yes No

Please tell us a little about your dog and any classes you have taken. If you are competing, at what level? If you are not competing at the Masters/Excellent Level, Please list the last 3 classes you have taken *

BY SUBMITTING THIS FORM YOU ARE AGREEING TO THE FOLLOWING:

Our primary obligation in all of our agility classes is the safety and well-being of all involved in our group classes. We reserve the right to refund your registration if we determine that your dog will require individual attention beyond the confines of a group situation, due to people or animal aggression. If your dog is deemed by the instructor to be overweight, he/she will be required to jump at a height of 8" until he/she is at an optimal weight, in order to avoid any injuries.

I certify that my dog has no biting history (human or animal). I agree that I will remove my dog from class IF ASKED due to ANY behavior deemed unsuitable, unpredictable or dangerous. In this circumstance, the handler MAY continue the class as a spectator ONLY, without the dog being present in the group class or withdraw from class. Refunds will be at the discretion of the board.

I/We, the undersigned participant and/or Parent/Guardian, intending to be legally bound, grant permission for pictures of myself and/or my child and my dog to be used in the Tailwaggers website or other publication or media without further disclosure.

Tailwaggers reserves the right to determine if a student/dog "team" has the necessary skills to participate in a class. If there is any question about class level placement, the Instructor will evaluate the team to determine whether they meet the necessary criteria for the class and make a recommendation which may include moving the team to a more appropriate class.