Flyball Seminar Entry Form

First & Last Name

Your Email

Street Address

City, State, Zip

Your Phone Number

What region do you run with?

What are you entering? (WORKING SPOTS ARE FULL)

Dog's Name

Dog's Age

What do you want to work on with this dog? (You can update this information as it gets closer to the seminar.)

I understand no exercise pens (xpens) are allowed on the matting and that all soft/wire crates must have a blanket/tarp/towel/pad underneath them between the crate and the matting.

For Working Spots - I would like to reserve space for an xpen (off matting).
(Limited space available. Spots must be reserved in advance.) YesNo

I (we) acknowledge that if this application for the entry of this dog and/or myself is made available to me (us) for participation in an event, that I (we) agree that this facility has the right to refuse the entry of this dog and/or they reserve the right to dismiss the dog and myself for cause they deem to be sufficient. In consideration of the acceptance of this and the opportunity to train my dog(s), I (we) agree to hold Matrix Dog, LLC dba Mile High Velocity Flyball and all associates 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 this dog or dogs while in or upon the premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for such claim, and I (we) further agree to hold the aforementioned parties harmless from any claim for damage or injury to the dog or myself, either physically or mentally, whether such loss, disappearance, theft, damage or injury, be caused or alleged to be caused by negligence while in or upon the premises of this event. The terms of this agreement bind the parties for the current period of training, and all subsequent classes/training/events in which they hereafter participate.

Hit “SEND” to submit the form, then scroll back down and read the confirmation message!

If you receive the confirmation message saying your entry was submitted, you can now click here to pay for your entry.

Registrations are taken in the order in which payment is received!