Dogs Can Dance - Printed Registration Form

To register - Please fill in completely then Print and mail this form with full payment.
Class ID:
  225 - Future of Freestyle Handler's Classroom
Date:
  Friday, June 01, 2018 to Sunday, June 03, 2018
Time:
  3:00 pm - 4:00 pm
Class Fee:
  $ 270.00       Audit Only Fee: $ 170.00 (Choose one)
Notes:
  Lunch will be provided both days. Handling working spaces are limited to first 10 who register. Auditing spaces are available. Indicate your Tshirt size on your reg form. You will receive a complete set of Handler Classroom Notes. contact (707)-449-1715
Location:
 

Dandy Dog Training
72 Lonesome Rd.
Newville (PA), PA 17211

     
Please Enter the following information
First Name:
 
Last Name:
 
Street: :
 
Unit/Apt Num::
 
City:
 
State:
 
Tel:
 
Email:
 
     
Dog's Name:
 
Dog Breed:
 
Payment Information:   Visa M/C
 
Name:
 
Card Number:
 
Expiration Date:
  Month Year    
Security Code:
  (3 digits - back of card)
Amount Total :   $_________________
Note: Telephone number or e-mail address required for ALL credit card orders. For your security we do not keep any credit card information on file. Once the order is processed, we destroy all credit card information.
     

Liability Waiver: I agree to hold harmless Dogs Can Dance LLC, Judy Gamet, and the owners of Dandy Dog Training in the event of an injury prior to, during, or after the workshop or classes. I understand that my only reimbursement in the event of an injury is my own insurance.

*Signature ___________________________________ Date_______________

This Form created on Saturday, 16 December 2017 02:35 pm


Fill in, print, and mail the form along with all applicable fees to -

Dogs Can Dance
Dogs Can Dance
PO Box 2117
Vacaville, CA 95696