Beginner 1 Class Registration Form

Beginner 1 Class Registration Form

Fill out the form carefully for registration. IMPORTANT!! YOUR REGISTRATION IS NOT APRROVED UNTIL YOU RECEIVE CONFIRMATION EMAIL AND INSTRUCTIONS FROM YOUR REGISTRAR. Final approval confirmation will be sent by email usually within 1 week. There are no refunds after class start date & no make up classes. Only 1 handler per 6 week session. If you have questions, contact registrar Janet: janwarnj@aol.com
Dog Owner LEGAL Name (Only one person)*

First NameLast Name
Owners Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's E-mail *
example@example.com
Mobile Number *
Emergency Contact *

First NameLast Name
Emergency Contact Cell Phone Number*
Please enter a valid phone number.
First Choice Start of Class Date & Time (check website for details)*

MonthDayYear
Date
Hour MinutesAM/PM Option
Second Choice Start of Class Date & Time (check website for details)*

MonthDayYear
Date
Hour MinutesAM/PM Option
Who will be handling the dog in class? (only 1 person for entire session)*
Name Of Handler (If not owner)

First NameLast Name
Dog's Call Name/Breed*

NameBreed
Dog's Name*
Dog's Breed*
FemaleMale
Dog's Date of Birth*

MonthDayYear
Date
Weight of Dog in LBS?*
Where did you get your dog?*
When did you get your dog?

MonthDayYear
Date
Does your dog have a NYC Dog License?
NOT REQUIRED TO ATTEND CLASS
Have you trained a dog before?*
If yes, where and when did you train?
If there are children in the home, how does the dog interact with them?*
If there are other pets in the home, list below and describe how the dog is getting along with them*
Describe your dog's reaction to strangers*
Describe your dog's reaction to another dog*
Has this dog ever bitten a person?*
Has dog ever bitten another dog?*
If dog has bitten person or dog, Please explain in detail and describe any injury
What goals would you like to accomplish by attending this class?*
Web Search (Google, Explorer, Bing)Recommendation/ Word of MouthAdvertising/SignageOther
Upload Vaccination Documents (Required), Rescue Documents if applicable. If you are unable to upload please contact registrar for options

Cancelof
If you have any comments or questions, enter below

Class Options: Please choose ONE: If you have club vouchers please contact Desma (desmadunne@hotmail.com) to get a coupon code*

Beginner 1- Non-Member Regular

Non-member, first time this dog is registering for class, non-rescue

$230.00

Beginner 1- Non-Member with Rescue Dog

This discount is for your rescue's FIRST class at ONLY. If you have a dog from a legitimate rescue organization (MUST UPLOAD supporting documents with form)

$220.00

Beginner 1-Non-Member Returning Student

This is for students who have already taken a class with THIS dog at SICDTC within the past year,

$220.00

Beginner 1 -SICDTC Members ONLY

Must be a SICDTC Member in Good Standing

$135.00

Beginner 1 -Members with TC approved Discount ONLY

Must be a SICDTC Member in Good Standing

$115.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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