PUPPY Class Registration Form
This is an AKC S.T.A.R. Puppy program designed to help dog owners and their puppies get off to a good start. Dogs must be 8 to 20 weeks old. Completion of all puppy vaccinations are not required. Only one DA2P+PV required for puppies entering Puppy Kindergarten class. Bordetella is highly recommended. 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 (please check junk & spam folders) 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 at petregistration@sicdtc.info
First Choice Class Start Date
*
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Month
-
Day
Year
Date
Second Choice Class Start Date
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Month
-
Day
Year
Date
Please Indicate Preferred Class- Start Date(s) below (check website for information)
*
1st Choice Start Date
2nd Choice Start Date
Dog's Owner LEGAL Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
*
Emergency Contact
*
First Name
Last Name
Emergency Contact Cell Phone Number
*
Please enter a valid phone number.
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
Dog's Name/Breed/Gender
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Name
Breed/Gender
Dog's Date of Birth
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Month
-
Day
Year
Date
Dog's Weight in LBS?
*
When did you get your dog?
*
Where did you get your dog?
*
Please Select
Rescue-Please upload supporting documents for discount below
Breeder
Other
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
If you have any Comments or Questions, enter below
Completion of puppy vaccinations are not required. Only one DA2P+PV required for puppies entering Puppy Kindergarten class. Bordatella is highly recommended. Upload Vaccination & if applicable, Rescue Documents . If you are unable to upload documents, please contact registrar for alternate option.
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Class Options: Please choose ONE: If you have club vouchers please contact Desma (sicdtc@hotmail.com) to get a coupon code. VENMO is available under PayPal Option below. There is no additional fee for on-line payments
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Puppy Class- Non-Member Regular
Non-member, first time this dog is registering for a class & not a rescue
$
205.00
Puppy Class- Non-Member with Rescue Dog
This discount is for your rescue's FIRST class with THIS dog ONLY. If you must have gotten the dog from a legitimate rescue organization (MUST submit supporting documents)
$
195.00
Puppy Class-Non-Member Returning Student
This is for students who have already taken a class with THIS dog at SICDTC within the past year,
$
195.00
Puppy Class-Members Only
Must be a SICDTC Member in Good Standing
$
125.00
Puppy Class-Members with TC approved Discount ONLY
Must be a SICDTC Member in Good Standing & a Member of the Training Committee
$
105.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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