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Instructor Workshop

CFT Instructor and Evaluator Workshop Registration

Please complete the following form and mail to the address below.  Workshop limited to eight (8) attendees.
Completed packet must be received no later than July 26, 2013
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Estimate of Instructional Hours::
Average Class Size:
Estimate of Instructional Hours::
Fields of Dog Training in which you have experience:  
List Dog Training experience: include schools attended and any professional associations::
Where are you currently teaching dog training: 
Dietary Restrictions (for lunch and snacks included in workshop)
Shirt Size: S,M,L,XL,2XL:
Dog's Name
Dog's Breed
Dog's Age
Name of Business/Organization hosting the program 
Street Address
City/State/Zip 
Phone
Email



The following MUST be submitted to Instructor Workshop, PO Box 12643, Wilmington, NC 28405 in order for your registration to be complete:
  • Proof of business insurance
  • 4 letters of recommendation
  • 10-15 minute video of instruction
  • Proof of dog's vaccinations
  • Proof of dog's CGC
  • Background check authorization form
  • Workshop fee ($500) check, money order or credit card

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information@caninesforservice.org                          
910-362-8181 or toll free:866-910-3647                          Canines for Service, PO Box 12643, Wilmington, NC 28405                     
         
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