Behavior Training Class REGISTRATION FORM

NOTE: please call 626 792-7151 x 129 to check availability and reserve a space.
Classes tend to fill up weeks in advance. Returning this form does not guarantee a space.

____ $125.00 General Registration
____ $100.00 PHS & SPCA Alumni Registration (Date Adopted: _____/_____)

Classes run for five weeks with the exception of the CGC class. The next series of classes start
May 19 th, 20th and 22nd 2008. Please select the one class you would like to attend:

____ Monday - 6:00 pm Adolescent Intermediate (6 months and up)
____ Monday - 8:00 pm Open Basic (6 months and up)

____ Tuesday - 6:00 pm Adolescent Basic (6 months to 2 years)
____ Tuesday - 7:30 pm AKC Canine Good Citizen (6,7 & 8) in session

____ Thursday - 6:00 pm Adult Basic (2 years and up)
____ Thursday - 7:30 pm Puppy Kindergarten (2 - 5 months)

Puppy/Dog's: Name ___________________ Breed _________________________    

Age______________ Sex: _________ Spayed or Neutered (Yes or No)?_________

Your Name_________________________________

Address___________________________________

City________________________ Zip__________ Phone_______________________

Your email address:___________________________________

____ Check Enclosed (payable to Pasadena Humane Society & SPCA)
____ Bill my (circle one): Visa/Master Card/American Express/Discover

         Card #____________________________________ Exp. ___/___

         Card payment Signature___________________________________

Please PRINT this form and send by mail to:
Pasadena Humane Society & SPCA, Attn: Behavior Department, 361 S. Raymond Ave., Pasadena, CA 91105
Or FAX to: 626-792-3810