Sirius Dog Agility: eRegistration

Current Students Only - eRegistration

Return to Students

After your registration is successfully transmitted, the Registration Confirmation page will open and you will select your payment method. E-mail Class Info if you have any questions. Please review your information carefully before pressing "Submit Registration". NOTE: You must now select a class and enter the dog's name and breed for that class. (R) = Required Information

HANDLER INFORMATION

Handler First Name:

(R)

Handler Last Name:

(R) Age: (if under 18)

Best Way to Reach You:

(R)

Best Telephone:

(R) XXX-XXX-XXXX

E-mail:

(R)

SESSION -- PAYMENT METHOD -- LIABILITY RELEASE

Session Starting Week:

(R)

Payment Method:

(R) (Fee $140 one dog, $130 each for two or more dogs)

Release From Liability:

Agility can be a physically strenuous and demanding sport. Because of that, there are risks involved in participation. Please sign the release below acknowledging that you understand these risks. Anyone using the Sirius facility is required to sign this release.
I understand that dog training is not without risk to myself, members of my family, and/or my dog. I agree that, in the event of injury to my family, my dog(s), or myself, I will not hold Sirius Dog Agility, it owners or any of its instructors, responsible. I also agree to assume all responsibility for any damage done to property, persons, or other dogs by me or my dog's actions. I hereby release Sirius Dog Agility Training Center, animal owners, animals, property owners, instructors, spectators and or any other participants, from any and all liability for accidents, injuries and/or damages to me, my dog, or any property, caused by participation in any activities including the period of time immediately prior there to, and immediately after, the conclusion thereof, so long as the animals are located on the premises designated for the activity. I assume all liability for injury to myself, my dog or any property, occasioned by this participation. This waiver shall be effective from the date of signing.
(R)	I agree with and accept the conditions of the above disclaimer. By selecting "Agree", I confirm that it has the same effect of my personal signature agreeing to the conditions of the above disclaimer.

VACCINATIONS - ALL DOGS REGISTERED

Vaccinations:

(R)

I hereby certify that each dog registered below is current on all vaccinations.

CLASS/DOG INFORMATION #1

Dog's Call Name:

(R)

Breed:

(R)

Class:

(R)

CLASS/DOG INFORMATION #2 - NEW OR CHANGED DOG/CLASS

Dog's Call Name:

Breed:

Class:

CLASS/DOG INFORMATION #3 - NEW OR CHANGED DOG/CLASS

Dog's Call Name:

Breed:

Class:

TOTAL DUE:

Enter the total amount due for all of your classes. Payment options will be displayed after you "Submit Registration"
(R)

NOTE TO SIRIUS:

Enter information needed regarding your registration and/or payment.

NOTE: After your registration is successfully transmitted, the Registration Confirmation page will open and you will process your payment based on the method you chose above.