Seminar Registration Form
Complete your personal details, choose your attendance day and lunch, and confirm the terms before submitting.
Full Name
*
First Name
Last Name
Business or Salon Name
*
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
City & State
*
Which day would you like to attend?
*
Friday, October 2, 2026
Saturday, October 3, 2026
Attending Both Days
What is your grooming experience level?
*
Student
Less than 1 year
1–3 years
4–10 years
10+ years
Competition Groomer
To take full advantage of Jay’s visit it is highly recommended you bring a dog for the hands on portion of the seminar. Will you be bringing a dog?
*
Yes
No
Breed of dog you plan to bring
What would you most like help with during the hands-on portion?
Scissoring
Clipper work
Asian Fusion
Round Faces
Poodles
Doodles
Terrier/Wire Coats
Double Coats
Breed Profile
Finishing Techniques
Other
Is your dog fully vaccinated?
Yes
No
Does your dog have any behavioral concerns Jay should be aware of? NOTE: Jay will not be working with difficult dogs, biting, muzzled, thrashing, etc. contact for further information.
Turkey, ham, &/ or roast beef will be offered with lunch. Check below if you would like to have instead of the above listed.
Tuna Fish
Food allergies or dietary restrictions
I understand that submission of this form does not guarantee my spot. An invoice will be emailed or texted to me. Full payment is due within 24 hours of receiving the invoice. Failure to submit payment within 24 hours may result in forfeiture of my spot, which may then be offered to another attendee.
I understand
Register
Should be Empty: