Class-Rally Class DROP-IN Payments

Rally Class Payment Form

This form is ONLY for students PRE-APPROVED FOR DROP IN class with Samantha at SICDTC
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Dog's Name
Date of Session & Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Comments
My Products
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Rally DROP-IN Class Non-Member
DROP-IN class with instructor Samantha Scicchigno

$40.00



Rally DROP-IN Class Member in Good Standing
DROP-IN class with Instructor Samantha Scicchigno

$30.00



Help Us Pay Processing Fees
Optional: If you would like to help cover some of our processing fees please select. Thank you!

$4.00



Total

$0.00

Debit or Credit Card

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

Rally Class Payment Form