SEATTLE AGILITY CENTER
Agility - Obedience
Mailing Address:
Seattle Agility Center
PO Box 290
Maple Valley, WA 98038
(425) 271-5433
CLASS REGISTRATION FORM
Name of Owner_____________________________Others Participating_____________________
Street Address_______________________________City____________ Zip Code____________
Day Phone___________________Evening Phone__________________E-Mail__________________
Dog's Call Name________________________Breed(s)______________________Age___________
Previous Training__________________________________________________________________
Specific Behavior Problems_________________________________________________________
Where did you hear about us? (Please be specific)__________________________________
***Please provide information on current vaccinations in space on back of this form.
Please list class, date and time desired...First and Second Choice
FIRST CHOICE SECOND CHOICE
Class ______________________________ ________________________________
Day of Week ______________________________ ________________________________
Start Date ______________________________ ________________________________
Start Time ______________________________ ________________________________
Amount Enclosed $_____________________(Make checks payable to Seattle Agility Center)
I understand and agree to the following:
To indemnify and hold harmless Doug Ricks, Diana Harris, and Seattle Agility Center,
its owners, board of directors, officers, agents, employees, instructors, and staff members,
from any and all claims, demands, actions, causes of action or liability of any kind
whatsoever, for death, personal injury or property damage in any way proximately
caused by ourselves, our family members, our friends and/or any animal belonging to,
or brought onto the premises by myself or any member of my family or my assigns.
I further agree, on behalf of myself, my family and my assigns, to assume complete
and sole responsibility for any and all actions of any animal belonging to, or
brought onto the premises by myself, any member of my family or my agents or assigns.
Signed_____________________________________________________Date_________________________
Please print: First and Last Name______________________________________________________
I agree to the following facility guidelines:
1. Dogs must be on leash AT ALL TIMES.
2. POTTY YOUR DOG ONLY IN THE DESIGNATED AREA AND CLEAN UP AFTER YOUR DOG.
There will be a $10.00 fine for anyone who does not follow this basic
courtesy.
3. Do not leave dogs in the car. If you are attending class with multiple dogs,
come prepared to crate inside the training building. There is plenty of
space for your crate.
4. Do not arrive more than 15 minutes early for your class to avoid parking
entry-exit problems.
In addition, I understand and agree to the following:
No dogs aggressive toward people or other dogs are allowed in any of the classes.
If you need clarification on this point, speak to one of the instructors
BEFORE registering your dog.
Keep your dog on leash and six feet from other dogs unless otherwise directed
by your instructor.
Keep your dog quiet at all times by following your instructor's recommendations.
We can help with noisy behaviors.
Be responsible for all children and family members attending class. Children
under 16 are welcome, but must be accompanied by an adult. Young children must
have an adult with them during class.
Vaccinate your dog as required: Puppies should not begin class until they have
received their second set of puppy shots prior to the first class they attend.
This is usually between 9-12 weeks. Puppies from 12 to 18 weeks must receive an
additional puppy shot. Dogs over 1 year of age must receive booster for
Rabies every 3 years. Bordatella (kennel cough) is recommended for all dogs,
required for all puppy classes.
Please note date of last vaccinations: Rabies_______ Bordatella________