Class Application

MAX FAST FLYBALL CLASS APPLICATION     (R) January 1st, 2015

Date:_______________

Dog Information

Name:                                    Breed:      

Date of Birth:                            Sex:

Spayed/Neutered?

Veterinarian:                                      Phone:

Does your pet(s) have any allergies/health problems/limitations?

Current level of training:

What are the training goals for your dog(s)?

For the health of all our dogs the trainer must have a copy of your dog’s vaccination

records from your vet before she/he may participate in training.   Rabies, DHLPP and

Bordetella.  When vaccines are updated have your vet fax a copy of the bordetella

Vaccine record to ATT: Max Fast Flyball at (704)-875-9864.

Classes: Our free but mandatory “Introduction/Test Into Flyball” sessions will be offered every Monday at 7pm at The Meadows Bed and Biscuit 15020 Brown Mill Road in Huntersville, NC and on Wednesday at 7pm at 4410 Murphy Lane in Mineral Springs, NC.  If you and your dog enjoy the introductory class and wish to sign up for training our 7 week flyball training course is $90.

Owner Information

Name:

Home phone:                                                Work phone:

Address:

City:                                        State:                        Zip Code:

E-mail:

Emergency Contact

Name:

Phone:

I have read and agree to all class policies attached to this registration form.  I understand and agree that participation in any dog training class is not without risk to my dog or me.  I voluntarily for myself (or children) waive, release, indemnify and hold harmless Max Fast Flyball @ Charlotte, any employees or contractors from any liabilities, claims, damages, injuries, losses and expenses including attorneys fees and costs whatsoever, including those for personal injury, death, or property damage, as a result of enrollment in flyball training.  Furthermore, I hereby give permission to Max Fast Flyball to use photographs taken during flyball activities.  I agree such photographs shall be the property of Max Fast Flyball and I am not entitled to any compensation for use of said photographs.  I agree to abide by all rules and guidelines and understand that Max Fast Flyball has the right to close registrations and to change fees and requirements when necessary.  This release shall remain in effect until cancelled in writing.

Signature:_________________________________________

Date:

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