Name:*FirstLast Name of Junior Handler:FirstLast 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.*YesNo I qualify for a discount:I do not qualify for a discountRescue Dog 1st ClassService Dog from Approved Orginization1st Class Discount CouponYou MUST bring your coupon to the first class and give it to the Registrar in order to qualify for this discount. If you do not have this coupon at that time, you will be asked to make up the $10 fee. Your dog must have come from a Non-Profit Rescue Group or Shelter to qualify for this discount. Please name that group here so we may confirm it: 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: What classes has this dog previously taken?: This dog has taken classes at:Gem City Dog Obedience Clubother This dog is new to GCDOC Classes:*YesNo Where/from whom did you acquire your dog: What things have you trained your dog to do: Do you have any special training problems you would like help with: Describe what you and your dog expect from training at GCDOC: Do you or your dog have any physical limitations that may affect the training? If so please explain: Has your dog ever growled at, snapped at or bitten another dog or person? If so, please explain: Have you taken an obedience class before? If so, when and where? How did you hear about Gem City Dog Obedience Club? A copy of your pups vaccinations must be provided no later than the first week of class. You can bring them with you or UPLOAD them HERE:Beginner Obedience ClassOwners are helped to develop basic on-lead control of their dogs. Dogs will learn to walk calmly on lead; sit/stay; lie down/stay; stand/stay; and come on command. Incentives such as toys and treats are used to reinforce correct behavior. Detailed sheets for at home practice provide students with understanding of how a dog is trained. Beginner Class:*Choose one:Thursdays at 10:30am Beginner Class Member Pricing:*Choose one:Thursdays at 10:30am Beginner Class Member Voucher Pricing:*Choose one:Thursdays at 10:30am Beginner Class Service Dog Pricing:*Choose one:Thursdays at 10:30am Beginner Class Rescue Dog Pricing:*Choose one:Thursdays at 10:30am Beginner Class Discount Coupon Pricing:*Choose one:Thursdays at 10:30amReleaseBy 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 Recaptcha Word Verification:By Clicking Submit I agree to pay IMMEDIATELY via PayPal.SubmitReset Problems with this form? Please Contact the WebAdmin!