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L.E.T.S. 40 hour Specific Scent Seminar
PRINT THIS FORM - FILL IT OUT COMPLETELY AND CLEARLY

Mail your filled out registration page with your seminar fee to:

NAME/TITLE _________________________________________

HOME ADDRESS ______________________________________

___________________________________________________

AGENCY_____________________________________________

AGENCY ADDRESS ____________________________________

___________________________________________________

SUPERVISOR_________________________________________

SEMINAR YOU WILL BE ATTENDING:

___________________________________________________

YOUR NAME AS IT IS TO APPEAR ON THE ATTENDENCE CERTIFICATE (please print clearly)

___________________________________________________

and K-9 ____________________________________________


PAYMENT METHOD: (ENCLOSED)

CASH________ MONEY ORDER__________ CHECK ________

mo#_________       ck#_________

DATE ____________________________

YEARS OF SERVICE_________________

BRIEF OF YOUR K9 WORK EXPERIENCE:

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

CONTACT PHONE __________________

EMERGENCY NOTIFICATION NUMBER

_________________________________

EMAIL ADDRESS____________________

K9 NAME__________________________

AGE OF K9________________________

BREED OF K9______________________

YEARS OF K9'S SERVICE____________

NOTE TO LETS SEMINAR HOSTS:
If registration forms and seminar payments are mailed to the seminar host rather then to Cindy Hester (LETS Headquarters) A copy of each registration form needs to be provided to LETS Headquarters, care of Cindy Hester within 10 days of the completion of the seminar.