Camp/Seminar Participant Questionnaire

To assist in the registration process, please fill out this form. Clicking on the SUBMIT button will deliver your responses to my files and save a lot of time at sign-in. Additionally, it will insure that my files are accurate. What you type will be imported to my files directly. No more guessing at spellings. No more typos - except for your own.
Thank you.

NOTE: Please do not use "carriage returns" or "colons" when you type - it messes up the import of the file.
Items in dark red are required fields
.

Camp/Seminar to attend: (select from this list => )
Name: (First) (Last)
Street Address:
City:
State: Zip Code:  Country:
Phone: 
E-mail:
Emergency Contact:
(Name)   (Phone)
   


 

Dog's Name:    Breed:
Sex: Male, Female.        Status: Intact , Spayed , Neutered
Highest Title Earned:  
Agility Jump Height ("):

If you are participating with two dogs, submit information for your second dog below. If not, leave blank.

Dog's Name 2:    Breed 2:
Sex 2: male, female.        Status 2: Intact , Spayed , Neutered
Highest Title Earned:  
Agility Jump Height (") 2:


Camp/Seminar GOALS:
- for handler:
- -for dog(s):


How did you find out about this camp/seminar?

Please be specific, i.e., from "Agile Dog List", "previous camper Mary Smith", "Google web search"

REFUND POLICY STATEMENT:

Deposits are non-refundable under any circumstances.
  • Tuitions (minus deposit) are 100% refundable if cancellation occurs at least 90 days prior to camp.
  • Tuitions (minus deposit) are 100% refundable if you can provide a replacement participant (at the same level) who pays full tuition, otherwise tuitions are 90% refundable if cancellation occurs at least 60 days prior to camp.
  • Tuitions (minus deposit) are 90% refundable if you can provide a replacement participant (at the same level) who pays full tuition, otherwise tuitions are 50% refundable if cancellation occurs in the 30 days prior to camp.

I have read, acknowledge and accept this REFUND POLICY

Up arrow   (form will not transmit unless you check the acceptance box.)


Regarding PayPal use (for MC, VISA, PayPal, etc.) I intend to ...

Link for PayPal usage: - PayPal Directory -


This will help me format your invoice. Thanks.

Please review your input carefully.
Click the submit button below and your data is automatically sent to me.

Thank you.

cow To cut down on "spam" please enter the number of feet a dog has here: A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.The entered value is less than the minimum required.The entered value is greater than the maximum allowed.
(This is the "pass")

To confirm your space, please send appropriate deposit monies to:

Training Ventures
PO Box 1078
Crystal River, FL 34423

(or)

Use the PayPal
link on the respective Camp page
(or) from here: PayPal Directory

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