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SUNFLOWER KENNEL CLUB OF OLATHE, KS
DOG TRAINING CLASSES REGISTRATION FORM
Please print legibly and send this form along with your check made out to
"Sunflower Kennel Club of Olathe, KS" to
Jane Blackerby, 9509 Hocker Dr., Merriam, KS 66203-2529

NAME: _________________________________________________________________

STREET ADDRESS: _______________________________________________________

CITY/STATE/ZIPCODE: ____________________________________________________

HOME PHONE NUMBER: __________________________________________________

EMAIL ADDRESS: _________________________________________________________

DOG'S BREED: ____________________________________________________________

DOG'S NAME: ____________________________________________________________
SKC members pay $45 or $50 for an 8-week (or 6-week) class; non-members pay $55.
SKC members pay $6 for a single walk-in class; non-members pay $8.
CLASSES: (Check the ones you want to take)
MONDAYS ONLY
Puppy Kindergarten (6 p.m.) _____
  Beginner Obedience (6 p.m.) _____
Table Dog Conformation (7 p.m.) _____
Novice Obedience (7 p.m.) _____
Floor Dog Conformation (8 p.m.) _____
Intensive Handling (8 p.m.)  _____
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I (we) agree to hold the Sunflower Kennel Club, its members, directors, officers and instructors
harmless from any claim for loss or injury which may be alleged to have been caused directly or
indirectly to any person or thing by the act of any dog in attendance at this training activity.
I (we) hereby assume the sole responsibility for the actions of my dog(s) and agree to keep my
dog(s) under control at all times, before, during and after the training activity. I agree to clean up
after my dog(s), both inside and outside of the training building.

________________________________________________________
(Signature of participant)                                                                 (Date)