Registration Form

Rather mail in a form? Click here to print out an Adobe Acrobat version

Course Information

*Session:

*Class Desired:

*Day and Time:

*Using Teacher Priority:

Other Info

*Registration Fee:
Fees from Registration and Fees page

*Fee paid yet? Yes No

Handler Information

*Handler's name:

*Address:

Phone number

Email:

Dog Information

*Dog's name:

*Breed:

*Sex Male Female

*Neutered Yes No

*Age:

Previous training with this dog:Tell us what you have done

Have you owned a dog before Yes No

Have you trained a dog before: Yes No

If so, to what level

What do you like best about your dog:

What do you hope to achieve from this class:

Health Information

*Distemper

*Parvo

*Rabies

Veterinarian's name
Proof of inoculation, signed by your veterinarian, will be required at your first meeting

Comments

*Required

DTCCU

Dog Training Club of Champaign-Urbana

Course Information

Handler Information

Dog Information

Health Information


	DTCCU Dog Training Club of Champaign-Urbana DTCCU Home Join the Club Training Requirements Course Progression Registration and Fees Registration Form Foundation Courses Rally Obedience Obedience Agility Short Courses CGC Testing Training Facility Trainers Student Materials FAQ Dogs in Action Class Schedules Events Club News Rather mail in a form? Click here to print out an Adobe Acrobat version Course Information Session: Class Desired: Day and Time: Using Teacher Priority: Other Info Registration Fee: Fees from Registration and Fees page Fee paid yet? Yes No Handler Information Handler's name: Address: Phone number Email: Dog Information Dog's name: Breed: Sex Male Female Neutered Yes No Age: Previous training with this dog:Tell us what you have done Have you owned a dog before Yes No Have you trained a dog before: Yes No If so, to what level What do you like best about your dog: What do you hope to achieve from this class: Health Information Distemper Parvo Rabies Veterinarian's name Proof of inoculation, signed by your veterinarian, will be required at your first meeting Comments *Required DTCCU Home Join the Club Training Requirements Course Progression Registration and Fees Registration Form Foundation Courses Rally Obedience Obedience Agility Short Courses CGC Testing Training Facility Trainers Student Materials FAQ Dogs in Action Class Schedules Events Club News Events 2010 Sherry Kluever Agility Seminar Dates August 13, 14, 15 DTCCU Home Training Registration Form © 2010 DTCCU Contact Webmaster Site Map