IDTC Class Registration form
Fees are to be paid when registering for class. Please fill out the following form, and remit with payment to the appropriate registrar by the registration due date.
Name:___________________________________ Telephone:_____________________
Address:________________________________________________________________
_______________________________________________________________________
E-Mail Address_____________________________ Dog’s Name:___________________
Breed:___________________ Age:_______
Male/Female Spayed/Neutered or Intact
Membership Status (circle one) Active Inactive Non-member
Obedience class(es) registering for:___________________________________________
Listed Instructor:________________________ Class Time:_______________________
Previous level of training or last class taken___________________________________
Agility and advanced obedience classes are for IDTC members ONLY. Dogs need to have passed the CGC test OR been evaluated and approved for participation by the Training Director.
Agility class(es) registering for:______________________________________________
Listed instructor:________________________ Class Time:_______________________
Previous level of training, or last class taken:___________________________________
________________________________________________________________________
Please sign up separately for Obedience and agility as follows:
Advanced Obedience Registrar: Amanda Pough 132 Genung Circle Ithaca, NY 14850
Beginner Obedience Registrar: Marian Szebenyi
Agility Registrar: Pepi Leids,
Please include a copy of your rabies vaccination certificate for each dog being registered as well as dates for last DHP-P given.
Fees: Active Members: $20 per class Mini Classes:Active $15
Inactive Members: $70 per class Inactive $30
Non-Members: $85 per class Non-Members $40