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 This dog is new to GCDOC Classes:*YesNo I certify that my dog has successfully completed Advanced Beginner Obedience training at Gem City Dog Obedience Club OR has previous permission from the Obedience Director to move forward to advanced classes.*YesNoYou are not qualified to join this class. If you think this is in error, please contact our Head Registrar.firstname.lastname@example.orgClick on the links below for descriptions of the classes:Dog Sport SamplerBeginner Trick DogWCFO Beginner/Novice FreestyleWCFO Intermediate FreestyleWCFO Advanced/PDP FreestyleRally ClassesNovice Obedience Beginner/Novice Freestyle Class:Choose one:Thursdays at 6pm Beginner/Novice Freestyle Member Price:Choose one:Thursdays at 6pm Beginner/Novice Freestyle Class Voucher Price:Choose one:Thursdays at 6pm Intro to Disc Dog Class:Choose one:Wednesdays at 6:00pm Intro to Disc Dog Class Member Price:Choose one:Wednesdays at 6:00pm Intro to Disc Dog Class Voucher Price:Choose one:Wednesdays at 6:00pm Dog Sport Sampler:Choose one:Thursdays at 8:00pm Dog Sport Sampler Member Price:Choose one:Thursdays at 8:00pm Dog Sport Sampler Voucher Priced:Choose one:Thursdays at 8:00pm Novice Obedience Class:Choose one:Closed Novice Obedience Class Member Price:Choose one:CLOSED Novice Obedience Class Member Voucher:Choose one:CLOSEDReleaseBy 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!