Form

Therapy Dog Class

Complete form below
Select the session for your registration. *

April 7, 2018 (Class meets 4/7 – 4/28, from Noon - 12:50 PM) April 7, 2018 (Class meets 4/7 – 4/28, from 1:00 PM - 1:50 PM) June 9, 2018 (Class meets 6/9 – 6/30, from 10:00 AM - 10:50 AM) June 9, 2018 (Class meets 6/9 – 6/30, from 11:00 AM - 11:50 AM) July 7, 2018 (Class meets 7/7 - 7/28, from 10:00 AM - 10:50 AM) August 4, 2018 (Class meets 8/4 - 8/25, from 10:00 AM - 10:50 AM)
Full Name *

First Name Last Name
E-mail *
Phone Number *

- Area Code Phone Number

Address *

Dog's Name *
Dog's Age *
Breed *
Gender *

Male Female
Spayed/Neutered *

Yes No
Vaccination Records
Registration Fee *

$65 for Non-ACS adopters - Therapy Dog Class $ 65.00

$55 for ACS adopters - Therapy Dog Class $ 55.00
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Therapy Dog Class