Registration Form for Agility Only  Questions call:    (517) 589-0477
Mail in:         1.    Completed registration form
                     2.    Health record ( Page 4 )
                     3.    A check for full payment made out to:    Beth Spanski
Send to:    475 Vaughn Rd. , Leslie MI  49251-9313
Name:______________________________ Phone: (             ) __________________
Address: ______________________________________________________________
City:___________________________________ ZIP:_______________________
Dog's Name:____________________________ Breed:_________________________
Birth Date:          /            / How did you hear about Diamonds:_____________________
I understand that the class fee includes a non-refundable $25 process fee. No refunds or switching dates once
class has started: ___ YES (initial please)

___ I HAVE attended a dog obedience class at _______________________________ ; ____ I HAVE NOT
IMPORTANT:   Aggressive dogs will not be allowed in class.
1. Has your dog ever growled at?:___ another dog    ____ the veterinarian ____ dog groomer ____ a person
2. Has your dog ever "bitten" another dog or person?  ____ YES  ____ NO
3. The vet or groomer needs to muzzle or tranquilize my dog to examine him/her? ____ YES   ____ NO
4. My dog has snapped at me when I have tried to take something out of his mouth or
    when I tried to move him OFF furniture?:  ____ YES  ____ NO
5. Has your dog ever attempted to bite another dog or person? ____ YES ____ NO
If you answered any of these questions positively, then your dog may not be suited for a class environment. If you have any
concerns, call Diamonds. Any dog that attempts to bite another dog or person at class will be asked to leave without a refund.
When more than 1 class time is available, please number your priority 1 or 2 since classes are filled on a first come / first serve basis.

MONDAY'S CLASSES in Leslie:
Open Agility Class in Leslie ($40):                            Class Date(s):  ____ Sept. 10
    INTAO1-600:   ___ 6:00-7:00PM

TUESDAY'S CLASSES in Plymouth:
Intro to Agility Obstacles with the Clicker ($95):        Class Date(s):  ____ Sept. 11 or ____ Nov. 6
    IAO1-630:   ___ 6:30-7:20PM   Priority: _____   or  IAO2-730:   ___ 7:30-8:20PM   Priority: _____

Intermediate Agility with Obstacles ($85):                 Class Date(s):  ____ Sept. 11 or ____ Nov. 6
    INAO1-830:   ___ 8:30-9:20PM

Puppy Agility  ($40):                                                  Class Date(s):  ____ Sept. 11 or ____ Nov. 6
    PAC-600        ____ 6:00-6:30PM

THURSDAY'S CLASSES in Plymouth:

Puppy Agility  ($40):                                                  Class Date(s):  ____ Oct. 4 or ____ Nov. 1
    PAC-730          ____ 7:30-8:00PM

SATURDAY'S CLASSES in Leslie:
Intro to Agility Obstacles with the Clicker ($95):        Class Date(s):  ____ Sept. 22
    IAO1-1030:   ___ 10:00-11:00AM

Intermediate Agility with Obstacles ($85):                 Class Date(s):  ____ Sept. 22
    INAO1-830:   ___ 11:00-12:00PM

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