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
Date
Hour MinutesAM/PM Option
Second Choice Start Date of Class & Time (check website for details)

MonthDayYear
Date
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 *
Emergency Contact *

First NameLast 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)*
Dog's Name/Breed*

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

MonthDayYear
Date
When did you get your dog?*

MonthDayYear
Date
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
SICDTCAnother Training FacilityA Private TrainerHave not trained beforeOther
Please describe in detail which level classes or training you have completed with your dog. (i.e. Puppy Kindergarten, Beginner 1) And Approximate dates.
YesNoOther
YesNoOther
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
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

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

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

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

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