Class Registration (Asterisk indicates required response.)

Today's Date*

Select The Class You Are Registering For* Select The Class You Are Registering For* Agility - Foundation Agility - Advanced Agility Foundation Level II How to Enter an Agility Trial Canine Good Citizen Class Dog Manners Class STAR Puppy Class K9 Fitness Class Tricks Class Obedience Skills Class Competition Obedience Level I Select this if your class is in the right column.

Additional Classes To Choose From* Additional Classes To Choose From* I chose class in left column. Beginner Rally Class Rally Novice Class Rally Advanced Class Rally Intermediate Class Rally Excellent Class Rally Master Class Virtual Rally Run Thrus & Video Session Obedience Skills Practice Rally Run Thrus CGC Evaluation Testing Trick Evaluation Testing

What is the start date of the class you will attend.*

Are you a full non-provisional member?* Are you a full non-provisional member?* Yes No

Your First & Last Name*

Email Address To Use For Registration*

Primary Street Address*

Primary City of Residence*

Other Street Address

Other City of Residence if Applicable

Your State and Zip*

Other State and Zip if Applicable

Primary Contact Phone*

Secondary Contact Phone

Your Dog(s) Name*

Your Dog(s) Breed*

What Sex is Your Dog(s)* What Sex is Your Dog(s)* Female Male

Select the sex details of your dog(s)* Select the sex details of your dog(s)* Male Neutered Male Intact Female Spayed Female Intact

Does your dog bark and lunge when on leash and around other dogs? * Does your dog bark and lunge when on leash and around other dogs? * Yes No

Has your dog ever been in a fight resulting in injury to himself or others? * Has your dog ever been in a fight resulting in injury to himself or others? * Yes No

Has your dog ever tried to bite a person or other dog? * Has your dog ever tried to bite a person or other dog? * Yes No

Does your dog have any special physical or behavioral Needs? If yes, please describe.

Does your dog have any permanent injuries or medical conditions?

Has your dog had any other training class? *

What are your goals? *

Hold Harmless Disclaimer: I affirm that the information I have entered is correct, including information about my dog’s behavior around other dogs. In case of accident or injury to my dog or myself, including dog bites, I hold harmless the Dog Obedience Club of Hollywood, its instructors, and its Board of Directors, from any claim or liability resulting from said accident or injury. I understand that animals, including my own dog (s), are unpredictable and that dog sports by nature are not without risk.* Hold Harmless Disclaimer: I affirm that the information I have entered is correct, including information about my dog’s behavior around other dogs. In case of accident or injury to my dog or myself, including dog bites, I hold harmless the Dog Obedience Club of Hollywood, its instructors, and its Board of Directors, from any claim or liability resulting from said accident or injury. I understand that animals, including my own dog (s), are unpredictable and that dog sports by nature are not without risk.* Confirm you understand and agree to the DOCOH Hold Harmless Statement.*

Club Class Policies: Because class sizes and limited and sufficient time is needed to contact alternate students, class tuition may only be refunded if notice, in writing or by email is received seven (7) calendar days prior to the start date of a class by the Instructor or the Training Director. Female dogs in season are not permitted on the training grounds. Club Class Policies: Because class sizes and limited and sufficient time is needed to contact alternate students, class tuition may only be refunded if notice, in writing or by email is received seven (7) calendar days prior to the start date of a class by the Instructor or the Training Director. Female dogs in season are not permitted on the training grounds. Confirm you understand and agree to the DOCOH Class Policies. See the Policies PDF at bottom of page.*

COVID-19: By signing below, I affirm to the best of my knowledge I am COVID-19 free. I also agree to refrain from coming to class and to notify DOCOH, should my condition change. Further, I agree to follow club procedures and guidelines, precautions and requirements to mitigate the possibility of class attendees or building users contracting or spreading COVID-19. I understand the risks of contracting or being exposed to COVID-19 associated with my attendance of this class, and knowingly I accept these risks. I agree to waive, and hold harmless the Dog Obedience Club of Hollywood, its instructors, and its Board of Directors, from any claim or liability related to COVID-19. COVID-19 free means that within the past 7 days I have not experienced the symptoms of COVID-19 (fever, coughing, shortness of breath), or I am not waiting for test results. If I have previously tested positive I have been released to resume normal activity. In addition, I believe that I, or any household member, or any close family member of frequent contact, have not been in contact with or exposed to any carrier of COVID-19. COVID-19: By signing below, I affirm to the best of my knowledge I am COVID-19 free. I also agree to refrain from coming to class and to notify DOCOH, should my condition change. Further, I agree to follow club procedures and guidelines, precautions and requirements to mitigate the possibility of class attendees or building users contracting or spreading COVID-19. I understand the risks of contracting or being exposed to COVID-19 associated with my attendance of this class, and knowingly I accept these risks. I agree to waive, and hold harmless the Dog Obedience Club of Hollywood, its instructors, and its Board of Directors, from any claim or liability related to COVID-19. COVID-19 free means that within the past 7 days I have not experienced the symptoms of COVID-19 (fever, coughing, shortness of breath), or I am not waiting for test results. If I have previously tested positive I have been released to resume normal activity. In addition, I believe that I, or any household member, or any close family member of frequent contact, have not been in contact with or exposed to any carrier of COVID-19. Disclaimers Agreement Confirmation - I have reviewed and agree to the DOCOH Disclaimer Statements Hold Harmless, Club Class Policies, and Covid-19.*

Registration Payment Confirmation: After you submit this form you will be taken to the payment page. A spot in class is not secured until we receive this form and payment processing has successfully completed. By submitting this Class Registration Form, I acknowledge that the information contained above is correct. Registration Payment Confirmation: After you submit this form you will be taken to the payment page. A spot in class is not secured until we receive this form and payment processing has successfully completed. By submitting this Class Registration Form, I acknowledge that the information contained above is correct. I understand this registration is only complete after payment is made.*