Home

Chicago Agility Class Enrollment Form

Please use this form to request to register for one of our upcoming classes or call 773-384-5959

We will call you back to complete final registration and take Payment.

Note up to date shots are required for all group class.

Class costs are $225 for each seven week class.

Full Name(*)

Please type your full name.

Phone(*)

Invalid Input

Email(*)

Invalid email address.

Vet Name & Number

Invalid Input

Who will be handling dog (if Different than owner)

Invalid Input

Dog's Name(*)

Invalid Input

Dog's Breed(*)

Invalid Input

Dog's Age

Invalid Input

Dog's Sex

Invalid Input

Select Class to Register(*)

Please tell us how big is your company.

First Time Student

Yes

Invalid Input

Enroll Second dog?

Yes

Invalid Input

Second Dog's Name

Invalid Input

Second Dog's Breed

Invalid Input

Second Dog Class

Invalid Input

Comments

Invalid Input

Yes I agree with the (*)

Field required