Puppy Class Registration Form

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*

MonthDayYear
Date
Second Choice Class Start Date

MonthDayYear
Date
Please Indicate Preferred Class- Start Date(s) below (check website for information)*

1st Choice Start Date2nd Choice Start Date
Dog's Owner LEGAL Name (ONE person only)*

First NameLast Name
Owner's Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's E-mail *
example@example.com
Owner's Mobile Number *
Format: (000) 000-0000.
Emergency Contact *

First NameLast Name
Emergency Contact Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Who will be handling the dog in class? (only 1 person for entire session)*
Name of Handler IF Other than Owner

First NameLast Name
Dog's Name/Breed

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

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

$230.00



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)

$220.00



Puppy Class- Non-Member Returning Student
This discount is ONLY for a dog who has graduated from another SICDTC class within one year.

$220.00



Puppy Class-SICDTC Members Only
Must be a SICDTC Member in Good Standing

$135.00



Puppy Class-Members with TC approved Discount ONLY
Must be a SICDTC Member in Good Standing & a Member of the Training Committee

$115.00



Total

$0.00

Payment Methods

Debit or Credit Card

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

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PUPPY Class Registration Form