Required fields indicated by a RED * Name:*FirstLast Name of Junior Handler (if there is one): Preferred Phone:* Area Code - Phone Number Alternate Phone: Area Code - Phone Number E-mail:* Dog's Name:* Age of Dog:* Breed of Dog:* Address:* Street Address City State / Province / Region Postal / Zip Code By checking this box I certify that I am a GCDOC Member.Yes I have a Blue Ribbon, Service, or Instructor Voucher to pay for this class. I will give this voucher to the REGISTRAR the first week of class, not the instructor.*Yes - I will bring the voucherNo - I will pay member pricing My Dog Is:*a service dog in training from an approved non-profit organizationhopeful to learn new things along with their human at Gem City Your dog must have come from a Non-Profit Service Dog Group to qualify for this discount. Please name that group here so we may confirm it:* This dog has taken classes at:Gem City Dog Obedience Clubother This dog is new to GCDOC Classes:*YesNo I have permission from the Obedience Director to attend this class:*YesNo What classes has this dog previously taken?:Advanced Beginner Obedience ClassThis class builds on basics taught in Beginner and Puppy Grad. The handler-dog communications are reinforced. This class also prepares students test for the American Kennel Club Canine Good Citizen. This test is given free of charge to students during the last week of classes.Prerequisite: Beginner class or approval of the Obedience Director Choose a class Day/Time that best fits you:*Tuesdays at 6:45pmWednesdays at 7:3opmThursdays at 11:30amReleaseBy submitting this Registration form, I hereby release and agree to hold harmless the Gem City Dog Obedience Club, its instructors, trustees and officers from any personal injury or damage or injury to any dog owned by me, including any liability, cost or expenses associated with the foregoing, arising-out-of, or during training classes sponsored by GCDOC.In addition, I understand that it is my responsibility as a trainee to keep my dog(s) under control at all times before, during, and after classes, and to refrain from the use of harsh or abusive training methods at any GCDOC activity. Failure to comply with the above may result in loss of training privileges and forfeiture of monies paid. I agree to the Liability Waiver*YesCancellations must be made the first week of class and a $10 fee will apply. No refunds will be given after the first week of class.Please arrive 15-20 minutes early and relieve your dog before entering.Bring small soft treats for your dog for training purposes. Total: Administrator Use ONLY: Mail in Form was Paid By:CheckMoney OrderVoucherService DogRescue DiscountFirst Time Class Discount reCAPTCHABy Clicking Submit I agree to pay IMMEDIATELY via PayPal.SubmitReset Problems with this form? Please Contact the WebAdmin!