Workshop Registration Form
Select Workshop	APDT Rally Judge Seminar 6/21/08 Canine Fitness & Fun Workshop 4/20/08 Freestyle Choreography Crash Course 6/21/08 Therapy Team Training Workshop 4/26-27/08
First Name
Last Name
Street Address
City/State/Zip
Home Phone
Cell/Work Phone
Email Address
Dog's Name
Dog's Age
Breed
Sex	F M
List your dog's titles/classes attended
Is your dog people and dog friendly?	yes no
Is your dog current on immunizations?	yes no
Has your dog ever bitten anyone?	yes no
Method of Payment	American Express Mastercard Visa
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