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Since 1949
2017 Online Agility Class Enrollment

Your Full Name
Street Address
City/State/Zip
Email
Alternative Email
Day Phone *

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Are you a member?
 Yes 
 No 
How do you plan to pay for this class? - I understand my spot is not secured until I have paid for the class.
 Pay Online (Preferred) 
 Pay by check (Mailed in) 
 Pay with Certificates and or check (Mail in) 
Dog's Call Name
Dog's Breed
(i.e. German Shepherd Mix)
Dog's Age when class begins
(i.e. 3 yrs or 6 mos)
I understand that my dog is required to be up-to-date with required vaccinations and that proof of such is required the first night of class.
 Yes, I understand 
Which class would you like to enroll in? *
PLEASE READ AND FOLLOW: 

Foundation Agility Class is required before taking any agility class.

Class Sequence: In addition to Foundations, all 100 level classes are prerequisite for 200 level classes. 200 level classes are prerequisite for 300 level classes.
 
Evening Phone

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What was the last class your dog attended?
In consideration of the acceptance of this application, the owner and handler hereby releases and agrees to hold harmless The Wichita Dog Training Club, Inc., its officers, instructors and board of directors thereof, from any liability for damages or loss *
 I agree 
 I do NOT agree 
Your registration will not be accepted if you do not wish to agree to these terms.
Phone

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How did you hear about us?