Please complete this registration form to be eligible to attend a class or the dogpark.
   

Your Name:
Address:
City:
State:
Zip:
Home Phone:
Cell:
Email Address:

Dog's Name:
Dog Breed
Age
Weight
Sex
Altered?
Date of last rabies vaccine
Date of last DHLP vaccine
Date of last Bordetella vaccine
How long have you owned this dog?

Does your dog get along well with
Big Dogs   Small dogs   Puppies   All dogs  
Does not get along with dogs        

I got my dog from  
Shelter           Humane Society            Breeder            Other

What training has your dog had
What else would you like to share about your dog?

Which classes are you interested in?
Agility        Obedience       Puppy Obedience       Intro Agility

Flyball        Schutzhund        Open dog play time

Do you prefer:

Day Classes         Evening Classes      Weekend Classes


How did you hear about us?

DISCLAIMER: I understand and agree that if I am enrolled in a class, or classes, at Rottstars agility fun and training center , that I will not hold Rottstars, my instructors, other students, their dogs, or other dogs in attendance, or children present liable and/or responsible for any harm or damage that may occur to myself, my dog(s) or my property.

By entering your initials in the box below you Agree with and accept the conditions of the above disclaimer

I agree

 
Contact Us at rottstars1@yahoo.com
770-945-6852