Registration

info@concorddogtraining.org

Thank you for your interest in training with CDTC. Please fill out all required information and select the class(es) you would like to attend.

CDTC Class Registration Form

* indicates required fields

*Owner's Name:

*Handler's Name:

*Mailing Address:

*City/Town:

*State:

*Zip Code:

*Telephone:

*Email Address:

*Dog's Call Name:

*Dog's Breed:

*Dog's Gender:

Male
Female

*Dog's Birthday:

*Spayed/Neutered?:

Yes
No

*Rabies Expiration Date::

Select Puppy Class:

Puppy Kindergarten with Arlee, $185 (Friday, 7-9pm, starts 3/26/10)

Select Basic Obedience Class:

Beginner Obedience - daytime, $155 (Monday 10-11am, starts 3/29/10)
Beginner Obedience - evening, $155 (Thursday 7-8pm, starts 4/1/10)
Agile-O for Beginners, $155 (Tuesday 5-6pm, starts 3/30/10)
Small Dog Obedience, $155 (Monday, 12-1pm, starts 3/29/10)
Advanced Beginner Obedience, $155 (Thursday 8-9pm, starts 4/1/10)
Advanced Beginner Obedience - daytime, $155 (Thursday 11am-12pm, starts 3/29/10)
Agile-O for Advanced Beginners, $155 (Thursday 6-7pm, starts 4/1/10)

Select Advanced/Comp. Class:

Novice Comp / Intermediate Obedience, $155 (Tuesday 6-7pm, starts 3/30/10)
Power Heeling - 4 weeks, $85 (Saturday, 9-10am, starts 3/27/10)
Attention I - Beginner, $155 (Monday 6-7pm, starts 4/27/10)
Attention II - Novice Prep, $155 (Monday 7-8pm, starts 4/27/10)

Select Other Training:

Introduction to Agility - 4 weeks, $85 (Saturday, 10:15-11:15am, starts 3/27/10)
Agility II, $155 (Thursday 5-6pm, starts 4/1/10)
Loose Leash Walking - 4 weeks, $85 (Saturday, 11:30am-12:30pm, starts 3/27/10)
Canine FreeStyle for Beginners - 6 weeks, $125 (Monday, 7-8pm, starts 3/8/10)
Canine FreeStyle for Advanced Students - 6 weeks, $125 (Monday, 8-9pm, starts 3/8/10)

Select Seminar/Workshop:

No seminars with dogs. See Debbie Jacobs seminar special form.

*How did you learn about CDTC training classes:

Current Student
Past Student
Flyer posted in store, office, other
Referral by Friend
Referral by Veterinarian
Internet Search
Newspaper Ad
Other

*I have read and agree to the CDTC release form:

Yes
No

*Type your name to confirm release form:

*CDTC member?:

Yes - please apply my discount
No - please send me membership information
No - and I am ok with that

*Payment Method:

On-Line (proceed to Class Payments)
Mail check (send within 48 hours)

Comment/Question: