ADOG/DTA - Attention & Focus Workshop E-registration

First Name:

(R)

Last Name:

(R)

Best Telephone:

(R) XXX-XXX-XXXX

E-mail:

(R)

Best Way to Reach You:

(R)

Events Mailing:

(R)

ADOG/Non-ADOG:

(R)

As of 1/6/10, the Beginner-Working Level is full. If you want to be added to the waiting list, complete separate form with "Add to Waiting List" as your payment option. Audit Slots are available.

Dog Info 1:

Call Name: (R) Breed: (R)

Level 1:

(R)

Dog Info 2:

Call Name or enter "Same Dog": Breed:

Level 2:

Payment Method:

(R)

Enter Amount:

$ (R)

Working: $25 one level, $40 both levels (ADOG Staff/Student $20 one level, $35 both levels)

Audit: $15 one level, $25 both levels

Release From
Liability:

RELEASE FROM LIABILITY - I hereby waive and release Atlanta’s Dogwood Obedience Group, LLC (“ADOG”) and Ambassador Corp, its 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 class, or any other function while on the training grounds or the surrounding area. In consideration of and as inducement to the acceptance of my application for training membership by ADOG, I hereby agree to indemnify and hold harmless the above from any and all claims, or claims by any member of my family or any other person accompanying me to any of the training activities or other sponsored functions, or while on the facility or neighboring area thereto as a result of any action by any dog, including my own.

(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.

NOTE: Please click "Submit Registration" only once and WAIT FOR THE CONFIRMATION PAGE TO DISPLAY. Clicking again will duplicate your registration.