Rally Class Application
Please Print or Type
____ Rally Novice Class $100.00
(8
Week Class)
Date Of Class:
________________________ Time:
______________
Dogs Name:
_________________________________________ Sex: M/F
Breed: ______________________________________________
Birthday: _________________
Owners Name:
_________________________________________________________________________
Handlers Name:
________________________________________________________________________
Address: ______________________________________________________________________________
City:
___________________________________________ Zip:
____________________________
Phone: Day: __(_____)___________________ Eve.:
__(_____)___________________
Highest Level of
Training To Date: _________________________________________________________
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
with my attendance or my dog’s attendance at the training classes conducted
by the
Signed Date
Mail application and
payment to:
Cathie Leszinske
0N230 Easton Avenue