Individual

Discount Code

First Name *

Last Name *

Address

Address 2

City

State or Province

Zip or Postal Code

Email *

Phone

Is this YOUR first time attending a SureFire class or seminar? *

Yes No

Is this your DOG'S first time attending a SureFire class or seminar? *

Yes No

Your dog\'s name(s) *

Have you used clicker? *

Yes No

Have you filled out a New Client form? *

Yes, I have submitted the New Client form.

Have you filled out a New Dog form? *

Yes, I have submitted the New Dog form for this dog.

Paylater

Paypal / Credit Card

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card type*

Card Holder Name*

Companion Dog Level 1(Mondays, 6 weeks) Jun 14, 2021 07:00 pm - Jul 19, 2021