Georgia Dog Gym Basic Training Class Registration
Starts: Friday, June 7th at 1:30pm
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What is your dog's name?
*
What type of dog do you have (Breed or Mix)?
*
What is your dog's age today?
*
Where did you get your dog?
*
How old was your dog when you brought it to your home?
*
Please list what you feed your dog (i.e. Brand of Food, Treats, Fresh Foods, Chews, Snacks, and/or Dietary Supplements.
*
Where does your dog stay when you are not at home?
*
Where does your dog sleep at night?
*
Please share your training goals for yourself and your dog:
Please share any issues you are experiencing with your dog that cause you great concerns or cause you to worry about your dog:
Please type this statement below: "My class fee is not refundable."
*
The cost of this Class is $250. We offer a $25 discount if you choose to pay in cash on the first night of class. Do you want to pre-pay for your class with a credit card NOW?
*
Yes, pay $250 by credit card NOW.
No thanks, I will pay $225 in cash when I come to the first class.
No, I will pay by check or credit card when I come to the first class.
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Product Name
Basic Training Class
$
250.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Name of Your Veterinarian
*
What is the date of your dog's most recent Veterinarian visit?
*
-
Month
-
Day
Year
Date
Here is a place where you can upload a recent copy of your dog's health record. We will need this document *no later* than the beginning of Week 2 of your class.
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