Farm Dog Workshop

Workshop Enrollment Form

Complete the information below.
Your Name

First NameLast Name
Your E-mail
Phone Number

Area CodePhone Number
Your Address

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
If you are signing up for a working dog spot, please provide your dogs information below.
Dogs Name
Age
Breed
Gender
Has your dog been around livestock

YesNo
Where did you hear about us?
By signing below you agree to the following liability release:
I am aware of the risks from handling animals: property damage or injury to myself, to my animal(s) or to members of my family or friends. In consideration of being permitted to enroll in the workshop, I do assume full responsibility for any actions of the dog I am enrolling and agree to hold harmless and indemnify any person associated with Canine Training Adventures, LLC or property owner Connie DeBusschere. I also understand that participating in this workshop is not without risk to me or my dog. I hereby agree to hold harmless all instructors and agents of Canine Training Adventures, LLC, and property owner Connie DeBusschere, from any and all claim of injury or damage which I or my dog may suffer while participating.
Signature*

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If also entering the Farm Dog trial - use coupon code "Farm" to receive a discount for the workshop. (does not apply to auditors).

Please select

Working dog spot - 9am to 12pm$75.00

Working spot

Audit - 9 am to 12pm$35.00

Audit spot (no dog)

Enter coupon

Total $0.00

Workshop Enrollment Form