OBEDIENCE CLASS APPLICATION

Please PRINT or TYPE

 

Please Circle One:

Puppy (8 weeks $100.00)                     Beginner (10 weeks $110.00)

 (7 to 16 week old puppy)                                   (5-month or older dog)

 

Date of Class:  _________________________

 

Time:  ______________ P.M.   Class #: ________________

 

Dog’s Name: _____________________       Sex:  M/F              

 

Breed:  _________________           Birthday: _______________

 

Owner’s Name:  ________________________________       


Handler’s Name:  __________________________

 

Address:  ________________________________  

 

City:  ___________________        

 

Zip:  _________________

 

Phone     (day):  _(____)__________ (Eve):_(____)________

 

Where did you hear about our club?:  ________________________________________________

 

In consideration for being accepted for training from “GABOC”, I agree to indemnify and hold harmless the Glenbard All Breed Obedience Club, Inc., its officers, directors, instructors and members against all claims or actions that may at any time be made or instituted against them or any of them by any person for the purpose of enforcing any cause of action growing out of or

connected with my attendance or my dog’s attendance at the training classes conducted by the

Glenbard All Breed Obedience Club, Inc.

_________________________________________

Signed                                                                                     Date                                                                                        

 

Mail application and payment to GABOC registrar:

c/o Sheila Gardner, 1200 Windsor Drive, Wheaton, IL. 60187 (630-682-0643)