Step 1 of 3: Register for Your Class

Please note: Unfortunately, class registration fees are not refundable. If you register
for a class and are unable to attend, we will be happy to provide you credit for a future class. 

Please complete the following form. Fields with an asterisk * are required.

Today's Date
1. Select a Class
BAT101, 11-30-2009(Macklind)6:30pm (1week) Cost $20.00
BAT101, 12-06-2009(Chesterfield)12:00pm (1week) Cost $20.00
BAT101, 12-13-2009(Macklind)6:30pm (1week) Cost $20.00
2. Owner's Information
*First Name
*Last Name
*Street Address
*City
*State
*Zip Code
*Email Address
*Home Phone ex. [xxx-xxx-xxxx]
Emergency Phone ex. [xxx-xxx-xxxx]
3. Pet Information
*Name
*Breed/Type
*Age
*Sex Male    Female
*Spayed or Neutered? Yes    No   Unsure
4. Additional Information
Name(s) of all family
members attending the class:
*Are You a member of the Greater
St. Louis Training Club? 		Yes    No
*Did you adopt your dog from
(Please check one.)
Humane Society of Missouri
Animal Protective Association of MO
St. Louis City Animal Center
St. Louis County Animal Control
I did not adopt from any of the shelters above.
If yes, when?
*How did you hear about our classes?
(Please check one.)
Adopted dog there
Website
Phone book
Referred by
Other
5. Agreement



*I agree

 

  
 


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Humane Society of Missouri | Headquarters: 1201 Macklind Avenue | St. Louis, MO 63110 | phone: (314) 647-8800