National Dog Groomers Association of America, Inc.

NDGAA ONLINE WORKSHOP & CERTIFICATION PRE-REGISTRATION FORM

*Please fill in the location that you are pre-registering for.

*Fill out the Form in full.

*Complete the payment section and hit the SUBMIT.

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City, State, Zip:

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Salon Name:

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Pre-Registration - Full Workshop/Private Testing


Location:
Event Date:

Full Workshop – $125 Non-Member fee Full Workshop – $110 Member fee Mini Workshop - $75 Non-Member fee Mini Workshop - $65 NDGAA Member fee
		Non-Sporting $125
		Sporting $125
		Terrier $125 (2 Terriers + Written/Practical Test)
Members Only Long Legged Terrier $75 Short Legged Terrier $75 Terrier Written/Practical Test $60 If choosing to groom 1 terrier, you must also take the terrier written exam.
		Master Exam $125
		NDGAA Breed Profile Study Kit – $35

Payment Information

	Name on Credit Card
	Card Type
	Card Number
	Expiration Date
	Card Billing Address
	City/State/Zip

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Agreement: Unless you have checked the two boxes below in agreement with the terms and conditions for pre-registration you will not be pre-registered for the events you have selected.

By Checking this box I agree and authorize my credit card to be charged for the activities and events I have checked to sign up for.

Yes/No By a YES in this box, I Hereby Agree To Authorize NDGAA to charge my credit card for check activities & events in the amount listed below:

(Please Enter the total dollar amount for the activities you are pre-registering for)
TOTAL $

Yes/No By typing a YES in this box, I/We hereby agree that neither NDGAA, nor the event host hotel or business, their sponsors, agents, employees, or representatives shall be liable for any loss, damage, harm or injury to the property or person of the applicant or its representative resulting from fire, accident, theft or other causes. Attend at your own risk - I/We hereby agree that I/We have read and understand this policy, and I/We Hereby Acknowledge that having read and understand the limits of liability for this event I/We agree to the risk liability.

Click the Submit Tab to complete pre-registration for the events you have selected