Super-k9.com - Seminar Registration Form

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Michele Devenport Crouse, CDBC, CPDT-KA

Member of
Association of Pet Dog Trainers

Denison, TX
903-271-0070
michele@super-k9.com

Nutrition & Equipment

Proud dealer of CANIDAE® Pet Foods, all natural dog food for all life stages. Visit www.canidae.com for more information.

Super-K9 now carries
Premier Pet Products.

CPDT
Learn more about CPDT

To register for an upcoming seminar, please complete the form below and click Submit. Please note that your registration is not complete until I receive your full payment and then send you a confirmation.

*required field

Seminar:*

Select the Days:*

$200.00 for both days
$100.00 for one day

Saturday
April 2nd

Sunday
April 3rd

Day 1

More to follow

Day 2

More to follow

Your Contact Information:

My Privacy Policy - Super-K9 is committed to protecting your privacy and will by no means share this information with anyone without your consent.

First Name*
Last Name*
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone Number*	(xxx-xxx-xxxx)
Alternate Phone Number	(xxx-xxx-xxxx)
Email*	(username@domain.com)

Do you require CEUs from IAABC?
Yes No

Do you require CEUs from CCPDT?
Yes No

Lunch:

Please choose one of the following lunch options:

Saturday (Day 1)
I would like the provided lunch
I would like the provided vegetarian lunch
I will be bringing my own lunch

Sunday (Day 2)
I would like the provided lunch
I would like the provided vegetarian lunch
I will be bringing my own lunch

Additional Info:

Use the box below to include any additional information, questions, and/or comments that you would like to submit with this form. Be sure to enter valid contact information above if you need a reply!