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 Name
Last Name
Owners Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner's E-mail
*
example@example.com
Mobile Number
*
Emergency Contact
*
First Name
Last Name
Emergency Contact Cell Phone Number
*
Please enter a valid phone number.
First Choice Start of Class Date & Time (check website for details)
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Second Choice Start of Class Date & Time (check website for details)
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Who will be handling the dog in class? (only 1 person for entire session)
*
Please Select
Owner
Jr Handler- (under 18 Yrs ) Parent must sign Permission Form
Other
Name Of Handler (If not owner)
First Name
Last Name
Dog's Call Name/Breed
*
Name
Breed
Dog's Name
*
Dog's Breed
*
Gender
Female
Male
Dog's Date of Birth
*
-
Month
-
Day
Year
Date
Weight of Dog in LBS?
*
Where did you get your dog?
*
Please Select
Rescue-Please upload supporting documents for discount below
Breeder
Other
When did you get your dog?
-
Month
-
Day
Year
Date
Does your dog have a NYC Dog License?
Please Select
Yes
No, but I would like more information
NOT REQUIRED TO ATTEND CLASS
Have you trained a dog before?
*
Please Select
Yes
No
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?
*
Please Select
Yes
No
Has dog ever bitten another dog?
*
Please Select
Yes
No
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?
*
We would love to know how you learned about our classes
Web Search (Google, Explorer, Bing)
Recommendation/ Word of Mouth
Advertising/Signage
Other
Upload Vaccination Documents (Required), Rescue Documents if applicable. If you are unable to upload please contact registrar for options
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Class Options: Please choose ONE: If you have club vouchers please contact Desma (desmadunne@hotmail.com) to get a coupon code
*
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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
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