Application Form | Axstane Agility Club

Full Name

Email

Address

Phone

Are you over 16 years of age?

If not

You must be accompanied by a parent or guardian to all sessions.

More About your Dog

Name

Date of Birth

Breed

Gender

Dog

Bitch

Height at Shoulders

Large (over 50cm)

Intermediate (42-50cm)

Medium (35-42cm)

Small (under 35cm)

What previous agility experience do you and your dog have?

What other activities do you do with your dog?

I declare that the above information is correct to the best of my knowledge.

Training Evening Preference

Prefer Training on a Monday evening (Hoopers and/or Agility)

Prefer Training on a Thursday evening (Agility only)

No Preference

Training Type

Hoopers

Agility

Hooper and Agility

Where did you hear about Axstane

General Data Protection Regulation (GDPR) *

By ticking this box you agree that the information you have provided will be held on our database. This information will only be used for the purpose of communications regarding training at Axstane Agility and shows and events associated with the club. It will not be shared with other organisations.

You also acknowledge that you have read the Club Training Info (Membership and Training | Axstane Agility Club) and accept the terms and conditions.