Agility Wait List Request

Handler Name:

Are you a current TCOTC member?
 yes no

Are you over 18?
 yes no

If not, date of birth:

Phone:

Email:

Dog's Name:

Dog's date of birth:

Dog's Breed:

Sex:
 male female

Neutered/Spayed?
 yes no

I would like to be on the wait list for:
 Puppy Agility Foundation Agility

If applying for Foundation Agility, dogs must meet ONE of the following criteria:

  1. Have successfully completed Basic Training, Intermediate Obedience, Impulse Control and Reliable Recall at TCOTC
  2. Have earned a CGC
  3. Graduatef from TCOTC Puppy Agility class (with regular and continual participation)
  4. Received an acceptable obedience evaluation to certify skills are sufficient for agility classes. List date of evaluation here:

Club members only: Please explain which of the above prerequisites you are currently working towards:

I am available for classes:

 Monday Day Monday Evening Tuesday Day Tuesday Evening Wednesday Day Wednesday Evening Thursday Day Thursday Evening Sunday Day Sunday Evening