Cape Cod Kennel Club Registration Form
Basic Manners, Basic Obedience, Intermediate Obedience, 
Introduction to Rally-O, and 
Show Handling Registration Form

Circle One:      Basic Manners        Basic Obedience        Intermediate Obedience        Intro to Rally-O        Show Handling 
**Please note:  Group Obedience classes are for quiet, friendly dogs.  Dogs that bark excessively or are not friendly toward people or other dogs require private lessons.  If your dog is extremely shy, private lessons that take place in your home are also the best place to start.       

Class Start Date: _______________________________

Your Name _____________________________________________________________________________________

Address ________________________________________________________________________________________

City, State Zip __________________________________________________________________________________

Telephone:  (home)_______________________________________________Cell:__________________________________

Email ___________________________________________________________________________________________

Dog's Name _____________________________________________________ Sex (M/F) _____________________

Breed _____________________________________________________ Date of Birth _________________________

Veterinarian: ____________________________________________________  Spayed/Neutered________________

My goals: A Well-Behaved Family Pet _______     Competition _______ Other _______________________________________________

Prior Obecience Training Classes/Titles:_______________________________________________________________________________

Release of Liablity:  I hereby waive and release Cape Cod Kennel Club, their employees, officers, members and agents from any and all liability of any nature for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session or any other function or while on the training grounds or the sourrounding area thereto.  In consideration of and as inducement to the acceptance of my registration for training with the Cape Cod Kennel Club, I hereby agree to indemnify and hold harmless the Cape Cod Kennel Club and the employees, officers, members and agents from any and all claims or claims by any member of my family or any other person accompanying me to any training sessions or function of the Cape Cod Kennel Club or whlle on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.  I acknowlege that the enclosed fee is non-refundable.

__________________________________________________________(____________________________)
Signature of Owner (Date)

First, verify that class space is available by contacting instructor, then SEND this completed form AND
- A copy of your dog's rabies vaccination record, if not already submitted
- A copy of the adoption papers if claiming the one-time $5 rescue discount
- A check made payable to Cape Cod Kennel Club for $110 for Basic Manners, Basic Manners 2, and Introduction to Rally-O ($95 for club            members), less the one-time $5 rescue discount if applicable.  

You may bring the $5 fee for members, $10 for non-members for Intermediate Obedience and Show Handling Drop In Classes.   
You need only supply this form once for the drop in classes, but current Rabies certificates must remain on file at all time while 
participating in CCKC classes.

For class space verification:  Heather Garre (508) 896-0126 or hgarre@comcast.net for Basic Manners and Introduction to Rally Obedience. 
For Intermediate Obedience and Show Handling, these are drop in classes.
Return form to:  Heather Garre, PO Box 2003, Brewster, MA  02631  (Cash or Checks only - There will be a $25 charge for returned checks.)

Return to Class Description Return to Training Class Overviews