Tri Cities Dog Training Club Class Registration Form TCDTC 6285 Bay Road, Ste. #6 Saginaw, MI 48604 Your Name (required) Today's Date Your Address City State Zip Code Preferred Phone Email Address (we promise not to spam you - we will only communicate with you about important TCDTC business) Name of Dog Age of Dog (years/months): Dog's Breed (if known) Class I wish to register for ---RALLY Class, - L. Lemmer, Instr., MONDAYS, JANUARY 10 start, 6-7PM, 8 weeks, $100Advanced BASIC Obedience - G.Leis, TUES, JANUARY 11 start, 8-9 pm, 10 wks, $125Group Heeling - Club Members only, starts Tuesday, JANUARY 11, 8-9 pm Method of Payment & Cost ---PayPal online: Full Class, 10 wks- $125 (LEIS ONLY, Instr.)PayPal online, Full Class, 8 wks - $100Full Class, 10 Wks - $125 (LEIS, Instructor), via Cash or checkFull Class, 8 wks, - $100 via cash or checkMembers only - Paypal online: full class, $50Members only, full class, $50 cash or check How did you learn about our classes? Sign (please specify where)Referred by friend or family memberI am a returning TCDTC studentInternet/WebsiteOther (please specify) I understand that I am required to provide a copy of my dog’s up-to-date vaccination record to leave with the class instructor no later than the first session of class or with my paid registration. I understand that I may be requested to provide evidence of my own COVID-19 vaccination in order to unmask myself inside the TCDTC facility. I have read and understand the TCDTC Class Rules and Regulations I have read and agree to the TCDTC’s Hold Harmless Liability Statement (please read it at TCDTC.com) & I understand I will be required to sign a copy on the first night of my class attendance. By completing this form and submitting it to the Tri Cities Dog Training Club as my class registration, I understand that I am agreeing to comply with the stated TCDTC class policies and I release and hold harmless the TCDTC and its members and volunteers from any and all liability for the actions of my dog before, during and after its participation on the club’s premises or at club events. Form info and agreement provided by (Name) (Date) On-Line Registration: Once you have completed this form and clicked "send" below, you will be given the opportunity to pay via PayPal. If you are submitting your form online, you must pay with PayPal. Mail-In: Do not click "Send!" Instead, after completing this form, click the printer icon (below the "SEND" button), then mail the completed form along with your check or money order (made payable to TCDTC) to: TCDTC, c/o A. Rysse, Secretary 4704 Mackinaw Rd. Saginaw, MI, 48603. For cash payment options, please email us at TCDTC.Treas@gmail.com to make arrangements. Payments are NOT accepted at the start of class, advance payment is required and secures your spot in the class. Questions? Contact TCDTC at (989)790-5898. ~~ TCDTC Training facility: 6285 Bay Rd., Ste 6, Saginaw, 48604 (rear of building)