Your Name (required)

Your Email (required)

Your Phone number (required)

Your Address (required)

Your City (required)

Your State (required)

Your Zip (required)

Dog’s Name (required)

Breed of Dog (required)

Dog’s Age (required)

Dog’s Sex (required)
MaleNeuteredFemaleSpayed

Veterinarian (required)

Class interest
FOUNDATIONOBSTACLES/WEAVESHANDLINGTIMINGDISTANCE

Clinic interest
Clinic IClinic IIClinic IIIClinic IVClinic VClinic VI

Previous classes attended or training experience

Where did you hear about this class:

What do you hope to accomplish in this class?

Your Message. Include any problems or areas of concern for your dog.

(Required. By accepting I am consenting to the conditions as listed)
I hereby agree to hold this club, its members, board of directors, the obedience instructors, and the owner of the premises harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the obedience class premises or grounds or near the entrance thereto. I personally assume all responsibility and liability for any such claim. I hereby grant permission to BDNKC to use photographs and/or video of me or my dogs in publications, news releases, online, and in other communications related to the mission of BDNKC.

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