Class Sign Up Confirmation

Thank you for your interest in classes and seminars with North Coast Dogs. Please review the following class/seminar information you've selected, complete the following online form and click submit. Someone will email you shortly to secure payment and confirm your spot in the class or seminar you've selected.

Please call 216-221-DOGS(3647) or email laura@northcoastdogs.com if you have any questions regarding the seminars or with registration.

Class Details:
Course:	Family Puppy
Location:	Lakewood
Start Date:	3/20/2010
Day of Week:	Saturday
Start Time:	12:00 pm
Trainer:	Christine DePamphilis
Cost:	$140.00

If you've signed up for classes or seminars with us before, you can use Express Registration.

If the information above does not match the class/seminar you intended to sign up for, please hit your browser's Back button and reselect your class.

Registration

If this is your first time registering for a North Coast Dogs class, we welcome you! Please fill in the detailed information below to register. Please note, North Coast Dogs will never share your personal information with other parties.

Your first name:
Your last name:
Email address:		(Required for Express Registration in future classes.)
Password:		(Used for registering in future classes. Required only if you wish to use Express Registration in the future, otherwise leave this field blank.)
Confirm Password:

Address 1:
Address 2:
City:
State:
Zip:
Main Phone number:
Alternate Phone number:

Residence:
	House
	Apartment

Your veterinarian (clinic name):

Your dog's name:

Your dog's sex:
	Male
	Female

Spayed / Neutered?
	Yes
	No

Your dog's breed or breed mix:

Dog's date of birth:

Where did you get your dog:
	Breeder
	Pet Store
	Rescue Group

Does your dog have previous training? If so, with whom?


Does your dog have any medical problems?


Does your dog have any problem behaviors?


How did you hear about us:

Additional comments/questions:


Thank you! If you would like immediate help please call 216-221-DOGS (3647).

Last updated: 8/30/2010