Class-Pet Beginner 2 Class Registration Form

Beginner 2 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 1-2 days (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 Start Date of Class & Time (check website for details)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Second Choice Start Date of Class & Time (check website for details)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Time

Hour Minutes

AM/PM Option
Time

Hour Minutes

AM/PM Option
Dog Owner's LEGAL Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
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)
Dog's Name/Breed

NameBreed
Dog's Name
Dog's Breed
Gender
Dog's Weight in LBS?
Dog's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
When did you get your dog?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Where did you get your dog?
When did you get your dog?
Does your dog have a NYC Dog License?
NOTE* NOT REQUIRED TO ATTEND CLASS
If you have trained a dog before, where have you trained?

Other
Please describe in detail which level classes or training you have completed with your dog. (i.e. Puppy Kindergarten, Beginner 1) And Approximate dates.
Is your dog able to remain calm and in control with other dogs nearby?

Other
Is your dog friendly to all people, including strangers?

Other
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?
We would love to know how you learned about our classes

Other
Comments or Questions
Upload Vaccination Documents (Required) Rescue Documents if applicable. If unable to upload contact registrar for other options.

Cancelof

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. If you have trouble making payment contact Desma (sicdtc@hotmail.com) If not submitting on-line payment, skip this part entirely and click submit

Beginner 2- Non-Member Regular

Non-member, first time this dog is registering for class, non-rescue

$230.00

Beginner 2- Non-Member with Rescue Dog

This discount is for your rescue's FIRST class with THIS dog ONLY. You must have gotten the dog from a legitimate rescue organization (MUST UPLOAD supporting documents with form)

$220.00

Beginner 2-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 2 -SICDTC Members Only

Must be a SICDTC Member in Good Standing

$135.00

Beginner 2 -SICDTC Members with TC approved Discount ONLY

Must be a SICDTC Member in Good Standing & a Member of the Training Committee

$115.00

Help Us Pay Processing Fees

Optional: If you would like to help cover some of our processing fees please select. Thank you!

$4.00

Enter coupon

Total

Payment Methods

Debit or Credit Card

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

Should be Empty: