Upon receiving the Registration Form below, an email confirmation will be sent out.  The Howard Johnson Motor Lodge in Newark, Delaware is convenient and accepts dogs.  Their telephone number is (302) 368-8521.  If you have any questions with regard to this event, please contact Pat Bagger at (302) 478-3094 or email pcbagger207w@veriozon.net or Carol Zielinski  at (610) 459-1696 or e-mail at caztcz1@aol.com.

Payment must accompany registration form in order to reserve your place in the seminar.  Please make checks payable to: Wilmington Kennel Club, Inc.

REGISTRATION FORM FOR GEORGE ALSTON SEMINAR

Name of Participant:    ___________________________________________________

Address:                        ___________________________________________________

City, State, Zip:             ___________________________________________________

Telephone Number:      ___________________  E-mail:  ________________________

Breed of Dog:               ___________________________________________________

Please Select One of the Following:    _____ Beginner with Dog ($150.00)

      _____ Junior Handler with Dog ($135.00)

                                                                  _____ Adult observer with Jr Handler ($50.00)

                                                                  _____ Advanced with Dog ($150.00)

                                                                  _____ Observer ($75.00)

Note:  In the Beginner and Advanced Classes, spaces will be filled on a first-come basis up to the enrollment limits.  If, upon receipt of your payment and registration form, all spaces are filled in those classes, do you want to change your registration to Observer with a refund for the difference and be placed on the waiting list?                 _____ Yes        _____ No

Return form as soon as possible to: Pat Bagger 207 W Pembrey Drive Wilmington, DE 19803. Remember, registration is on a first-come basis.  Register early!

 

Signature of parent or guardian if participant is under 18: ___________________________