You are registering for the following course:

Course name: CRITICAL ELEMENTS FOR SPORT AND LIFE (FORMERLY PUPPY CAMP)
Date: Saturday, April 17 - Sunday, April 18, 2010
Time: 9:00 am - 5:00 pm
Location: Alberton, ON
Price: $435 CAD ($435 USD)

 If this is not the course that you meant to register for, click here to return to the complete listing of courses or return to the Say Yes home page.
YOUR INFORMATION (fields marked with an asterisk * are required)
First name (*):
Last name (*):
Address line 1 (*):
Address line 2:
City (*):
Province/State (*):
Postal/Zip Code (*):
Country (if outside US/Canada):
Telephone (*):
Email (*):
Retype your e-mail - must match above (*):
List previous camps and dates OR PRE-REQUISITES if applicable:
Date pre-requisite completed if applicable:
YOUR DOG'S INFORMATION (fields marked with an asterisk * are required)
Dog's name (*):
Dog's breed (*):
Dog's date of birth (*):   
Agility titles (if any):
Motivation level:High  Medium  Low
Jump height initial (USDAA - only necessary for full camps)
Jump height rest of camp (USDAA - only necessary for full camps)
Enter any other information or special requests that you would like to send to us:
  CAPTCHA Image
Show a different image

To cut down on spam, please enter the code shown above
To prevent this form from being submitted by Spammers, please enter the four characters shown above (*):