Information Sheet                           

Please fill out the relevant information below and Hand in at Training  

Also please print the following form and Send with your payment to the Australian Flyball Assoc

click icon for AFA (Australian Flyball Assoc) form

 

 

Your Name                                                                                                     Date of Birth

Your address

Phone Mobile                                                                                               Home  phone   

Email Address

Who Should We Call if You Have an Accident?

Name                                                                                                 Relationship?                                Phone

Name                                                                                                  Relationship?                                Phone

 

Please describe any Allergies/Ilnesses or Medical Conditions (Yours)

 

 

Doctor’sName                                                                                         Phone

Dogs Name                                                                                                         Date of Birth

Microchip No                                                                                                     Vaccination Date

Vet’s Name                                                                                                         Phone

Please describe any Allergies/Illnesses or Medical Conditions (Your Dog’s)

Signature