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)
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Second Choice Start Date of Class & Time (check website for details)
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Time
*
Hour Minutes
AM
PM
AM/PM Option
Time
Hour Minutes
AM
PM
AM/PM Option
Dog Owner's 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
*
Name
Breed/Gender
Dog's Weight in LBS?
*
Dog's Date of Birth
*
-
Month
-
Day
Year
Date
When did you get your dog?
*
-
Month
-
Day
Year
Date
Where did you get your dog?
*
Please Select
Rescue-Please upload supporting documents for discount below
Breeder
Other
When did you get your dog?
*
Does your dog have a NYC Dog License?
*
Please Select
Yes
No, but I would like more information
NOTE* NOT REQUIRED TO ATTEND CLASS
If you have trained a dog before, where have you trained?
*
SICDTC
Another Training Facility
A Private Trainer
Have not trained before
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?
*
Yes
No
Other
Is your dog friendly to all people, including strangers?
*
Yes
No
Other
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
Comments or Questions
Upload Vaccination Documents (Required) Rescue Documents if applicable. If unable to upload contact registrar for other options.
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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. If you have trouble making payment contact Desma (sicdtc@hotmail.com) If not submitting on-line payment, skip this part entirely and click submit
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Beginner 2- Non-Member Regular
Non-member, first time this dog is registering for class, non-rescue
$
205.00
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)
$
195.00
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,
$
195.00
Beginner 2 -Members Only
Must be a SICDTC Member in Good Standing
$
125.00
Beginner 2 -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
Card Expiration
Security Code
Please click one of the PayPal options to complete payment and
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the form.
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