Lucky Dog Sports Club - Seminar Registration

• Seminar/Event Registration •

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* = required field to finalize, but all information is needed especially if filling out this form for the first time. Thank you! Class: Please choose one*
*Date(s) of attendance:
*Participant's Name(s):
Street Address:
City:
State: Zip:

Home Phone:
Work Phone:
Cell Phone:
Preferred Contact Number: Home Work Cell
*Email Address:
*Dog's Name (if this event includes your dog's participation):
*Dog's Breed (if applicable)
Please enter any additional information below (including eligibility requirements if the event has any, such as the level your dog is currently working at):
How did you hear about us?
If Friend, Veterinarian or Other please specify
Are you a current member of Lucky Dog? Yes No (Members may receive a discount for some special events.)
Payment Details
Your spot in the seminar/event is reserved once we receive payment. This is a secure form; feel confidence listing your credit card info.
Payment Method: Credit Card (Fill in below) Check Cash
Gift Certificate Amount: Certificate #:
Card Number: no spaces or dashes
Expiration: mm/yy
Name on Card:
Billing Address: ( if different from above)
City:
State: Zip:
I authorize Lucky Dog Sports Club to charge my credit card. Please enter your initials (if paying by credit card)

General Withdrawals / Refunds Policy (For certain special events, other policies may apply. Please check the Events page for specific cancellation policies about each event). In general, if you must withdraw from a seminar or event, a full refund will be issued to you by Lucky Dog Sports Club if such withdrawal and request for refund is made directly to Mindy Cox no less than 72 hours before the start of an event. “No-shows” without notice will not be refunded. After the event has started, no refunds will be given. In special situations, event fee may be transferred to another event at the discretion of the speaker / instructor and Lucky Dog Sports Club. I have read and understand the release and waiver of claims. of this agreement (click on link to read). *Please enter your initials