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Date*

Handler’s Email*

Handler’s Name*

First

Last

Address*

Street Address

Address Line 2

City

Province

Postal Code

Cell Phone Number*

Used for class communications.

Work Phone Number*

Used only in case of class cancellation.

Dog's Name*

Breed*

Dog's Birth Date*

Payment Details

E-transfers are preferred but note that your bank may charge a $1.50 service fee.

Total

$ 0.00 CAD

Payment Method:*

by e-transfer
by cheque

The e-transfer password will be emailed to you upon form submission. PLEASE INDICATE THE NAME(S) OF YOUR DOG(S) IN THE E-TRANSFER NOTES FIELD.

Cheque payment instructions will be emailed to you upon form submission. THERE WILL BE A CHARGE OF $40 FOR NSF CHEQUES.

Consent & Acknowledgement / Policies

Agreement*

VACCINATIONS MUST BE CURRENT including Bordatella, for the protection of your dog. This is a strong recommendation only. If you choose not to vaccinate, you accept the risks involved in exposing your dog(s) to contagious canine diseases.

Yes, I have read and agree to all policies and guidelines

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Please ensure you have reviewed all information entered above before clicking the Submit button.

Agile Dog Sports

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Consent & Acknowledgement / Policies

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