Before attending your first drop in time, please fill out the following form, along with the Hold Harmless Agreement and place in the Workin' Paws Mailbox located next to the agility field. 

This information is for our records only and will not be shared with other organizations or individuals. Thank you.

Workin’ Paws, LLC

Information form

Please Print

Name: ________________________________________

Address: _____________________________________

City: ________________________________________

Zip Code: ____________________________________

Home Phone: _________________________________

E-Mail: _____________________________________

Dog 1: __________________ Age: ________ Breed: ____

Dog 2: _________________ Age: ________ Breed: _____

Dog 3: _________________ Age: ________ Breed: _____

Dog 4: _________________ Age: ________ Breed: _____

Emergency Contact Information:

Name: ______________________________

Phone: _____________________________

Cell Phone: ________________________

Preferred Agility Venue: __________________

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