Workshop Registration

Registration Type*

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Is this a dog workshop?*

Yes = Dogs are to be brought No = No Dogs allowed

Dog's Information

Call Name*

Date of Birth*

Breed*

Gender*

Neutered/Spayed*

Workshop Information

Workshop Number*

Date*

Find this on the events page workshop tab

Terms and Conditions

Waiver of Liability*

Please enter "yes" into the box below to acknowledge the following:

I understand as the owner/handler of this dog, I assume full responsibility for the dog. In case of injury to either an individual or dog, STONE CITY KENNEL CLUB, INC. assumes no responsibility or liability.

Submit button will appear once terms and conditions have been accepted.

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