Disaster K9 Training Workshop Request for Registration

This registration form is for individuals that wish to attend the Superfit Canine Disaster K9 Workshop (HRD/Live Find) in Santa Paula, CA on December 8-9, 2018. If your registration is accepted, an invoice will be sent directly to you (or your agency if specified) for payment. Your registration is not complete until the invoice is paid in full. If the workshop is full at the time of submission, you will be notified and placed on our Wait List for this event.

Name *
Name
Address *
Address
Phone *
Phone
In the event of emergency during the event, please list an emergency contact here
Emergency Contact Phone *
Emergency Contact Phone
only 1 dog per handler (working spots only).
For K9 working spots
K9 Training Level
Lunch will be provided on full training days. Please use this space to notify us if you have any specific dietary restrictions.
To help us better serve you, please take this opportunity to list any training goals (for working spots) you'd like to achieve, or add any comments that you'd like our workshop team to hear before the event.
Fill this out only if we are not sending the invoice to the email address above.