PFA Form

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Full Name* This field is required.
Prefix
First Name
Last Name
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Additional StudentName of second student
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Staff/Volunteer?Are you a staff member or volunteer at class location.
YESNO
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
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Aruba
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Austria
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Belize
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Brunei
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Chile
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Martinique
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Mayotte
Mexico
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Namibia
Nauru
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Netherlands
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Niger
Nigeria
Niue
Norfolk Island
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Northern Mariana
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Panama
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Paraguay
Peru
Philippines
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Poland
Portugal
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Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
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eSwatini
Sweden
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Tanzania
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Tuvalu
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Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
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Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Phone Number* This field is required.
Area Code
Phone Number
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E-mail* This field is required.
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Course DatesYou must have a valid Walks 'N' Wags certificate to attend Off the Grid
Saturday April 18, 11am-5pm - Sunday April 19, 9am-1pm , 2020 *** Windsor/Essex Human Society
Saturday Oct. 3, 11am-5pm - Sunday Oct. 4, 9am-1pm, 2020 *** Windsor/Essex Human Society
Off the Grid - Sunday April 19, 2020 3pm-6pm *** Windsor/Essex Human Society
Off the Grid - Sunday October 4, 2020 3pm-6pm *** Windsor/Essex Human Society
Saturday April 25, 9am-3pm - Sunday April 26, 9am-1pm, 2020 *** Maggie's Grooming, London
Sunday April 26, 3pm-7pm - Monday April 27, 9am-3pm, 2020 *** Maggie's Grooming, London
Saturday May 9/Sunday May 10, 2020, 9am-2pm (each day) *** Tail Waggin' Dog Ranch, London
Off the Grid - Sunday May 10, 2020 3pm-6pm *** Tail Waggin' Dog Ranch, London
Saturday June 20/Sunday June 21, 2020, 9am-2pm (each day) *** Tail Waggin' Dog Ranch, London
Saturday Sept. 19/Sunday Sept. 20, 2020, 9am-2pm (each day) *** Tail Waggin' Dog Ranch, London
Saturday Nov. 14/Sunday Nov. 15, 2020, 9am-2pm (each day) *** Tail Waggin' Dog Ranch, London
Saturday June 13th, 2020, 8am-6pm *** Brantford, ON
Private classes available...contact to book
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Course Fee/S* This field is required.
$155 per person - full 10 hour course
$145 staff/volunteer discount - full 10 hour class
$290 (2 people attending same course) No staff discount available - full 10 hour class
$55 Off the Grid - 3 hour class
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Pet First Aid Kits Kits will be available to purchase day of course as well
Pocket Size Kit - $15.00
Compact Kit (33 pieces) - $36.00
Full Size Kit (75 pieces) - $55.00
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Balance Owing
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Payments can made be made by e-Transfer to n_ilett@hotmail.com. If other form of payment needs to be made please contact me directly.

Once payment has been recieved you will recieve a registration email.
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Will your dog be attending?Dogs are the responsibility of the owner and must be friendly to both dogs and people. They must also be able to settle during class time as not to disrupt the class. Dogs must be registered to attend class.
Yes
No
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Dog Information
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Please Note: Sit Stay Play assumes no liability should your dog become injured or a person become injured by your dog. Owners are responsible for their dog at all times. Dogs must be up to date on vaccines, proof may be required.
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Cancellation Policy:

If you need to cancel for some reason notice is required. Refunds will be given up to 48 hours prior, after 48 hours you may opt to attend another class.
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I agree to all terms and conditions* This field is required.
YESNO
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Thank You for registering. If you have any questions please contact Nadine at n_ilett@hotmail.com
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