Dogs of Course

Register for ITC Courses

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Registration Form

Name:
I am a CPDT-KA	Yes No
I am a IAABC Member	Yes No
Street Address:
City
State
Zip
Country
Home Phone:
Work Phone:
Email Address:

Vegetarian?	Yes No
Hot beverage choice:	regular coffee decaf coffee hot tea none
I am interested in sharing a room; please share my name and number with other students.	Yes No
I am interested in sharing a ride during the course; please share my name and number with other students.	Yes No

Tell us about your professional and dog training experience. Please include how long you have been teaching or assisting etc:
Tell about the current (or past) dogs in your life. Please include breed, age and what they are like:
Is there anything else that we should know about you?

Select the date you want to attend and the attendance level:	ITC: Teaching in Accord, NY, May 2012 Full Registration: 5 days, full participation Auditor Registration: 5 days, limited participation
If you selected the Auditor Registration: Why are you enrolling as an auditor?

Have you attended any of Dogs of Course's Instructor Training Courses? What level and when?
Have you attended/completed other dog training instructor courses? What and when? Include distance learning courses. Be brief.

How did you hear about the Instructor Training Course or comments?

I have read and agree to the terms of the registration/refund policy, and the waiver:

*Required