REGISTRATION FORM
COACHING THE CANINE ATHLETE
A TWO DAY SEMINAR ON FEBRUARY 6TH & 7TH 2016
PRESENTED BY INTERNATIONAL LEADING EXPERT
PROFESSOR CHRISTINE ZINK DVM, PhD, DACVP, DAVCSMR
From The Canine Rehabilitation Institute USA
ORGANISED BY THE AGILITY ADVISORY COMMITTEE TO DOGS SA WITH GENEROUS
SPONSORSHIP FROM ADELAIDE DOG MOBILITY AND HYDROTHERAPY AT GLENSIDE VET
IMPORTANT NOTES
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Please complete the registration form and mail with full payment to: Coaching The Canine Athlete Seminar, 36 Porter
Street, Parkside SA 5063. Cheque or money order to be made payable to Dogs SA.
Free parking on site at David Roche Park, Cromwell Road, Kilburn.
Places are available for full participants with dogs and also auditing only.
Places are limited and will be allocated on a first in basis.
No refunds will be given for non-attendance or cancellation (exceptional circumstances may be considered).
Registration is transferrable but organisers must be notified beforehand.
Any personal information is collected and used exclusively for the purpose of registering for, and administering this
seminar, and will be used for no other purpose.
Please keep a copy of the registration for your records.
All dogs attending will require a crate to be supplied by owners.
Registration fee is per person.
The Seminar will begin at 9-30am on both days; Day 1 (Sat. 6th February 2016) will conclude at 5pm; the evening session
on Day 2 (Sun. 7th February 2016) will begin at 7pm and conclude at 9-30pm.
Lunch and refreshments will not be supplied on site.
Participation is at own risk. No liability on the part of organisers or the presenter will be accepted for injury to canine or
human participants. Owners are responsible for their dogs.
SEMINAR MODULES
DAY
DAY 1
TIME
DAY 2
9.30am –
1pm
2pm-5pm
9.30am –
1pm
2pm-5pm
DAY 2
7pm-9.30pm
DAY 1
DAY 2
TOPIC
CANINE STRUCTURE AND ITS
IMPORTANCE FOR PERFORMANCE
LOCOMOTION
KEEPING YOUR ATHLETE IN PEAK
CONDITION
HOW DOGS JUMP AND JUMP TRAINING
FOR ALL DOGS
WHEN THINGS GO WRONG – INJURIES IN
PERFORMANCE DOGS
TOTAL
COST FULL
PARTICIPANT
WITH DOG
$50-00
COST AUDIT
ONLY
$35-00
$50-00
$50-00
$50-00
$35-00
$25-00
$25-00
$225-00
$95-00
For more details on each module please access the full description www.agilitysa.net or the
Agility South Australia Facebook Page
Queries contact: Geoff Sykes MOB: 0417 876 432 Email: gsykes7@bigpond.com
COACHING THE CANINE ATHLETE SEMINAR FEB. 6/7 2016
REGISTRATION CONTACT DETAILS
NAME
POSTAL ADDRESS
EMAIL
BEST CONTACT NUMBER
NAME AND BREED OF
DOG IF ATTENDING WITH
A DOG
AGE OF DOG
HIGHEST LEVEL OF
COMPETITION EG
NOVICE, EXC, MASTERS
IS THERE A SPECIFIC
CONCERN YOU WISH TO
BE ADDRESSED?
PLEASE TICK THIS BOX IF YOU ARE ATTENDING THE FULL SEMINAR SERIES OF FIVE WITH
YOUR DOG – TOTAL COST $225-00 (All you need to do now is send this form with your full
payment as outlined in the notes at the beginning of this form)
PLEASE TICK THIS BOX IF YOU ARE ATTENDING THE FULL SEMINAR SERIES OF FIVE AS AN
AUDITOR ONLY – TOTAL COST $95-00 (All you need to do now is send this form with your
full payment as outlined in the notes at the beginning of this form)
IF YOU WISH TO ATTEND SOME SESSIONS ONLY AND/OR MIX AUDITING WITH FULL PARTICIPANT
STATUS WITH A DOG YOU WILL NEED TO COMPLETE THE FOLLOWING SECTION.
PLEASE INDICATE BY PLACING A TICK IN THE APPROPRIATE CIRCLE(S) WHICH SESSIONS YOU WILL
BE ATTENDING AND MAKE SURE YOU CHOOSE WHETHER YOU ARE A FULL PARTICIPANT WITH A
DOG OR AUDITING ONLY:
o
o
o
o
o
o
o
DAY 1 AM – PARTICIPANT WITH DOG
DAY 1 PM – PARTICIPANT WITH DOG
DAY 1 – AUDITING ONLY (DOUBLE OR SINGLE SESSION)
DAY 2 AM – PARTICIPANT WITH DOG
DAY 2 PM – PARTICIPANT WITH DOG
DAY 2 – AUDITING ONLY (DOUBLE OR SINGLE SESSION)
DAY 2 – EVENING SESSION
COST $50-00
COST $50-00
COST $35-00
COST $50-00
COST $50-00
COST $35-00
COST $25-00
TOTAL = $