Cape Cod Kennel Club
Teamwork I Registration

Class Start Date: ________________

Your Name _____________________________________________________________

Address _______________________________________________________________

City, State Zip __________________________________________________________

Telephone _____________________________________________________________

Email _________________________________________________________________

Dog's Name ___________________________________________ Sex (M/F) _____

Breed ______________________________________ Date of Birth _____________

Goals: Just for Fun __ Develop our skills __ Competition __

Other ___________________________________________________________

Prior Agility/Obedience Training Classes/Titles:

I agree to abide by the rules of Cape Cod Kennel Club while attending or participating in training classes. I do not hold Sea Horse Farm or any persons connected therewith, or Cape Cod Kennel Club, its members, or Trainers, responsible for any loss or damage incurred by me or my dog, or by others to me or my dog. I understand that, at the discretion of the Trainer, any dog exhibiting uncontrollable disruptive and/or aggressive behavior, or appearing to be in poor health, may be asked to withdraw from the class. I acknowledge that the enclosed fee is non-refundable.

______________________________________________(______________)
Signature of Owner (Date)

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 $125 ($120 for club members), less the one-time $5 rescue discount if applicable

TO: Heather Garre PO Box 2003, Brewster, MA 02631

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