Dogs Can Dance - Printed Registration Form

To register - Please fill in completely then Print and mail this form with full payment.
Class ID:
   159 - Freestyle 2
Date:
   Saturday, August 27, 2016 to Saturday, December 10, 2016
Time:
   12:45 pm - 1:30 pm
Class Fee:
   $ 105.00       Audit Only Fee: $ 60.00 (Choose one)
Notes:
   Class dates once a month: Aug 27, Sept 24, Oct 29, Nov 19, Dec 10. Drop ins welcome at $27 each. SMDTC members receive $5.00 discount. Make Checks payable to: Dogs Can Dance. Class size limited to 5 working teams. Visa/Mastercard is accepted. Paypal invoices upon request.
Location:
  

San Mateo Dog Training Club
595 Taylor Way
San Carlos, CA 94070

     
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 San Mateo Dog Training Club 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 Wednesday, 24 April 2024 01:01 pm


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

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