Please do one of the following:
Fill the form out on your computer and then print a paper copy or
Make a paper copy of this page and PRINT the information clearly
TOTAL COST:
For accounting purposes, please send separate checks for each different activity.. Thank you for your assistance!
If you are registering for either the NCTD Therapy Dog Training Course or the Delta Pet Partners® Team Screening, please complete the following (for each animal):
Gender:
I understand that I assume all responsibility of any and all actions of my animal. I also understand that NCTD is not liable for the action of any other animal in the class.
Signature: _____________________________ Date: __________________________
Send the completed signed form along with check(s), payable to NCTD, and a copy of a current rabies certificate for each animal to: