Registration For Classes

To register you must pay online using credit card or PayPal account. Do not start the registration form unless you have your account information handy so that you may complete the transaction at this time. This form uses PayPal to process your payment. Do not leave the PayPal application until your payment is completed. A spot in class is not secured until payment processing has successfully completed. If payment is successful, you will receive a confirmation from otcpbc@gmail.com to the email address you use while registering. Please also check your account to see if the payment was successful.

Please do not scroll to find a class. The “REGISTER HERE” button brings you to a specific class. Please read the Class Name and Class Start date on the Select a Class dropdown to be sure you are registering for the class for which you intended to register.
If a class is full, you will not be able to submit information for this class.

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Class Full

NW Basic Nose Work Beginnings is currently at capacity.

Select a Class*

By entering these classes and events, you release the Obedience Training Club of Palm Beach County of any liability relating to Covid-19 or Canine Influenza or any other human or canine communicable diseases. All AKC, CDC, State and County Covid-19 policies will be strictly enforced.

Are you a qualifying member? Did you work the required volunteer hours within the last 12 months?

Yes

Please check yes in this field ONLY if you are entitled to membership discounts. (ONLY OTCPBC MEMBERS WHO HAVE WORKED 20 HOURS at OTCPBC functions within the last twelve months are eligible.) If you do not, you will be charged the nonmember rate. New members are NOT eligible for discounts until they have worked 20 volunteer hours. Discounts apply when volunteer hours have been recorded and published in Lead Lines.

Name*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Primary Contact Number*

Home

Work

Cell

Preferred Phone*

Email*

This email will be used in sending confirmation email. Please check for accuracy.

Dog's Name*

Breed*

Color

Sex*

Age*

Date of Last Distemper/Parvo Vaccination or Titer*

Date of Last Rabies or Titer

Does your dog have any injuries or medical conditions?

Yes

Explain

Does your dog bark and lunge when on leash and around other dogs? Has your dog ever been in a fight resulting in injury to himself or others?

Yes

Explain

Has your dog ever tried to bite a person or other dog?

Yes

Explain

Name

Name of Emergency Contact

Please list Name of the person to call in an emergency.

Emergency Contact Phone Number

Please list phone number to be used to call or text in case of an emergency.

Hold Harmless True and Accurate and Signature*

I affirm and affix my signature to the Hold Harlmess True and Accurate Statement.

Club Class Policies – Sign and Acknowledge Below*

Refunds: Because class size is limited and sufficient time is necessary to contact alternate students, class tuition may only be refunded if notice, in writing or by email, is received seven (7) business days prior to the start date of a class by the instructor or the director. OTCPBC does not offer make-up lessons, private instruction in lieu of group classes, or transfers of monies from one class to another. Seminar fees are nonrefundable unless there is a waiting list.

Date*

Member Discount

Price: $0.00

Total

Are you ready to submit this form?

All information is correct and complete. I have my credit card or PayPal account information handy and am prepared to enter it now. Do not hit submit if you are not prepared to pay at this time. Registration for all classes must be paid for online using the Debit/Credit Card option at the time of registration. If payment is not successful, a place in class will not be saved and registration will be automatically voided so someone else may register. Please monitor your debit/credit card or PayPal account to be sure that payment was successful.

Payment Method*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

You may use the drop down to choose to pay with a credit card or with PayPal.

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