Class-Rally Class SS Monday Payments

Rally Class Payment Form

This form is ONLY for students currently enrolled in classes with Samantha at SICDTC or pre-approved by registrar/instructor. Click on PayPal to access the Venmo or Pay Later Link
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Dog's Name (if Multiple Dog's Add in Comments below)
Start Date of Session

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
Comments or Multiple Dog Information

Rally Class Fee -SICDTC -NON-Member

8 week classes with instructor Samantha Scicchigno

$225.00 Quantity
Item subtotal:

Rally Class Fee -SICDTC Member in Good Standing

8 week class with Instructor Samantha Scicchigno

$155.00 Quantity
Item subtotal:

Rally Class Fee- Member w/TC Discount ONLY

8 week class with Instructor Samantha Scicchigno

$135.00 Quantity
Item subtotal:

Enter coupon

Total

Debit or Credit Card

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

Rally Class Payment Form