Dogs Can Dance - Printed Registration Form

To register - Please fill in completely then Print and mail this form with full payment.
Class ID:
   196 - Stepping Out:The Mental Advantage
Date:
   Thursday, October 19, 2023 to Thursday, December 07, 2023
Time:
   12:00 noon - 12:00 midnight
Class Fee:
   $ 135.00       Audit Only Fee: $ 85.00 (Choose one)
Notes:
   Stepping Out: Preparing for Performance Program is included with the price of this course. This course is 60% handler desk work, 40% dog and handler work. You will need a video camera and ability to link your homework to the internet in order to get the most benefit from coaching. Visa Mastercard are accepted. Working teams limited to 8. If you previously purchased Stepping Out: Preparing for Performance Program, your cost is $100. This class is the perfect follow up to From Dream to Dance part 3.
Location:
  

Internet
your home address
Available Online,

     
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 Internet 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 Monday, 27 November 2023 09:43 pm


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

Dogs Can Dance
 Dogs Can Dance
 PO Box 1093
Vacaville, CA 95696