Club Pup Camp Registration

NOTES:

*Trick Dog Certification Camp requires prior class or camp completion for dog AND camper.

*Companion Camp is for kids 9-16 years of age.

*Gameskills Camp requires prior Companion Camp completion for both dog and camper.

Club Pup Camp for this camper? *

First Name of Camper: *

Last Name of Camper: *

Age of Camper: *

Shirt Size of Camper: *

First Name of Parent: *

Last Name of Parent: *

Address: *

City, State, and Zip: *

Home Phone: *

Work Phone:

Cell Phone:

Email: *

If Dog is to be provided, leave dog's information blank.

Name of Dog:

Age of Dog:

Breed of Dog:

If Dog is to be provided, what breed is desired?

Additional Comments: