BELLE-CITY KENNEL CLUB, INC

Beginning Tracking Training Course

INFORMATION / APPLICATION

Congratulations on deciding to train your dog to track. You have taken another step toward a lifetime of friendship and companionship by choosing to spend the time and effort in building a long-lasting relationship with this canine member of your household.

How to reserve a place in the class:

Our classes often fill up rapidly and we limit the number of students so everyone can receive quality instruction. Please complete this application and mail to the address below with your registration fee (no cash please), no later than the date indicated below. If you have not taken recent classes from us with this dog, please also include your most recent vaccination records.

Fee: $100 includes tracking primer and AKC tracking regulations.

NOTE: Refunds will not normally be given after the first week of class

This application and class fee should be returned prior to September 15, 2008.

OWNER INFORMATION

OWNER / TRAINER_ ________________________________________________ PHONE: HOME: ______________________

ADDRESS: STREET: ________________________________________________ MOBILE______________________

CITY: ____________________________STATE____ZIP_________ WORK: ________________________

E-MAIL__________________________________________________

DOG / PUPPY INFORMATION

DOG/PUPPY’S CALL NAME _____________________________ BREED __________________ COLOR _____________

DATE OF BIRTH _________________________ GENDER___________________ NEUTERED Yes / No (circle one)

Please list any problems you are having with your dog ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Is your dog aggressive with other dogs? YES / NO Is your dog aggressive with people? YES / NO

List any prior training courses you have completed with this dog including location and date if you remember ___________________ ___________________________________________________________________________________________________________

Agreement: In consideration of my acceptance as a training applicant, I hereby agree to waive any claims against Belle-City Kennel Club it’s instructors, assistants, or members for possible loss or damage which may occur to any person, animal or thing while on or adjacent to the premises of the Course or during, before or after instruction. I have read this entire application and agree to abide by the rules as stated.

Please make check payable to BCKC and mail to:

Joan Seipp

600 Linden Drive

Shiloh, IL 62221-4420 Signature of owner/trainer ___________________________________