Jump city Agility Banner

Jump City Beginning Class


Please fill out the form below.
Note that all fields are required!


Class date?
Class time?
Name:
Address:
City, State, Zip:
Pnone number:
Email Address:
Dog's Name:
Kind of dog/Breed
Check male or female: Male
Female
Is your dog spayed/neutered? Spayed
Neutered
No
Dog's age:
How long have you had this dog?
Briefly describe any kind of prior training:
Briefly describe any issues or problems such as aggression, fear, anxiety, etc.
Is there anything else we need to know about your dog?
By reading the following waiver form I understand and agree with this Yes, I agree
No, I do not agree
Today's date:


Voluntary Participation
1. I acknowledge that I have voluntarily applied to Jump City Agility® for dog agility training. If my application is accepted, I agree that Jump City Agility® may drop me from the training at any time, either with or without cause.
Assumption of Risk
2. I am aware that dog agility training may be a hazardous activity. I am voluntarily participating in this activity with full knowledge of the potential danger involved. I hereby agree to accept any and all risks of injury to myself, my dog(s), or any dog(s) under my care, custody, or control.
Release
3. As consideration for being permitted by Jump City Agility® to participate in this activity, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make a claim against, sue, or attach the property of Jump City Agility®, its officers, directors, employees, lessors, agents, independent contractors or the City of Los Angeles, for injury or damage resulting from the negligence, howsoever caused, by Jump City Agility®, its officers, directors, employees, lessors, agents, independent contractors or the City of Los Angeles, as a result of my participation in dog agility training. I hereby forever release Jump City Agility®, it officers, directors, employees, lessors, agents, independent contractors and the City of Los Angeles, from all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, and legal representatives now have or may hereafter have for injury or damage to myself, my dog(s), or any dog(s) under my care, custody, or control resulting from my participation in dog agility training.
Media
4. All rights to televise, video tape, audio tape, advertise, photograph, or otherwise promote the dog agility training are vested in Jump City Agility® or in entities to whom assignments of such rights have been made in writing. By participating in the dog agility training I forever grant to Jump City Agility® the right to televise, video tape, audio tape, advertise, photograph, or otherwise promote the dog agility training and use my likeness, my dog(s), or any dog(s) under my care, custody, or control in any manner whatsoever without further release, consent, or compensation.
Attorney's Fees/Choice of Law/Forum Selection
5. The prevailing party shall be entitled to costs and attorney's fees in any action or proceeding arising out of this Agreement and Release and/or in any action or proceeding to enforce a judgment based on a cause of action arising out of this Agreement and Release. This Agreement and Release will be governed by, and construed in accordance with, California law. All causes of action arising directly or indirectly from this Agreement and Release shall be filed and prosecuted in the Los Angeles Judicial District.
Full and Complete Agreement
6. This Agreement and Release supersedes all agreements previously made between the parties relating to its subject matter. There are no other understandings or agreements between them.
Knowing and Voluntary Execution
7. BY CHECKING THE BOX ABOVE, I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND JUMP CITY AGILITY®.


In case of questions, you can send an email to Cara Callaway