High Fly N Agility Training Center

HIGH FLY’N AGILITY TRAINING CENTER HIGH FLY’N AGILITY TRAINING CENTER

ENROLLMENT FORM FOR AGILITY CLASSES

Please place a check by the class for which you are enrolling:

__ Beginner 1 Agility This class is six weeks long. The cost is $100. __ Beginner 2 Agility This class is six weeks long. The cost is $100. Intermediate and Advanced classes are $55 for 4 weeks. Name: ______Home Phone:______

Work Phone:______E-MAIL:______

Address:______City:______Zip:______

Dog's Name:______Age:______Breed:______

NOTE: Proof of vaccinations must be furnished and kept current (DHLPC, RABIES & BORDATELLA).

With whom did you complete your training so far? ______

What classes did you take? ______

Are you experiencing any problems in training? ______

What goals have you set for you and your dog? ______

How did you learn about High Fly’n Obedience Training Center? ______

WAIVER, ASSUMPTION OF RISK AND AGREEMENT TO HOLD HARMLESS

I understand that participation in dog obedience training is not without risk to myself, any family members or guests who might attend, and to my dog. Knowing this, I hereby waive and release Joan Jung , her Agents, Shiloh Road Kennels (High Fly’n Obedience Training Center), from any nature, for injury or damage suffered as a result of my participation in any class or private lesson, including any damage or injury resulting from the action of any person or dog, or for any accident occurring on the premises or its surroundings. I agree to accept full responsibility for my actions, those of my family or guests and of my dog.

Please sign: ______

Mail the completed form and a copy of your dog's vaccination record to:

HIGH FLY’N OBEDIENCE TRAINING CENTER 3880 SHILOH ROAD MIDLOTHIAN, TX 76065