Dogs Can Dance - Printed Registration Form

To register - Please fill in completely then Print and mail this form with full payment.
Class ID:
   267 - Beginner / Intermediate Freestyle with Monica
Date:
   Wednesday, January 24, 2018 to Wednesday, March 28, 2018
Time:
   6:30 pm - 7:30 pm
Class Fee:
   $ 150.00 (Choose one)
Notes:
   To register, contact Monica: nolanmilano@gmail.com
VHOC members receive a $30 discount
Location:
  

Valley Hills Obedience Club Training Site
7357 Jordan Ave.
Canoga Park, CA 91309

     
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 Valley Hills Obedience Club Training Site 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 Tuesday, 23 April 2024 02:09 pm


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

Valley Hills Obedience
 VHOC Training Site
 PO Box 10132
Canoga Park, CA 91309