Class Entry Form

Use this entry form to enter Q-Ball classes online and pay via PayPal.
If you wish to pay via cheque, print this form and send with payment to:
GABRIELE HUTTON
26489-29TH AVE
ALDERGROVE, BC V4W 3A9
NOTE: Payment is required to secure class spot!.
You MUST fill in all fields to register. Incomplete Registrations cannot be processed and accepted.




A. Contact Information

First Name:
Last Name:
Address:
City:
State:
ZIP/Postal Code:
Phone:
Email:


B. Dog Information

Dog's Name:
Breed:
Age:


C. Classes

Select one

Mondays Classes 1:00PM Set of 7 (September 6,13,20 & 27 2010 & October 4,18 & 25 2010) - Starters$98
Mondays Classes 1:00PM Set of 7 (September 6,13,20 & 27 2010 & October 4,18 & 25 2010) - Starters/Advanced/Gabriele$98
Mondays Classes 2:00PM Set of 7 (September 6,13,20 & 27 2010 & October 4,18 & 25 2010) - Introduction/Foundation $98
Mondays Classes 2:00PM Set of 7 (September 6,13,20 & 27 2010 & October 4,18 & 25 2010) - Advanced/Gabriele$98
Mondays Classes 3:00PM Set of 7 (September 6,13,20 & 27 2010 & October 4,18 & 25 2010) - Advanced/Masters$98
Mondays Classes 4:00PM Set of 7 (September 6,13,20 & 27 2010 & October 4,18 & 25 2010) - Masters - FULL!$98
Mondays Classes Set of 7 (September 6,13,20 & 27 2010 & October 4,18 & 25 2010) - 15 % discount add. Dog $83
Tuesday Classes 12:00PM Set of 8 (September 7,14,21 & 28 2010 & October 5,12,19 & 26 2010) - Intro/Puppy Classes$112
Tuesday Classes 1:00PM Set of 8 (September 7,14,21 & 28 2010 & October 5,12,19 & 26 2010) - Privates/Semi-Privates$0
Tuesday Classes 2:00PM Set of 8 (September 7,14,21 & 28 2010 & October 5,12,19 & 26 2010) - Starters$112
Tuesday Classes 3:00PM Set of 8 (September 7,14,21 & 28 2010 & October 5,12,19 & 26 2010) - Starters /Introduction$112
Tuesday Classes 4:00PM Set of 8 (September 7,14,21 & 28 2010 & October 5,12,19 & 26 2010) - Privates/Semi-Privates$0
Tuesday Classes Set of 8 (September 7,14,21 & 28 2010 & October 5,12,19 & 26 2010) - 15 % discount add. Dog $95
Wednesday Classes 6:30PM Set of 9 (September 1,8,15,22 & 29 2010 & October 6,13,20 & 27 2010) - Starters$126
Wednesday Classes 6:30PM Set of 9 (September 1,8,15,22 & 29 2010 & October 6,13,20 & 27 2010) - Starters/Advanced$126
Wednesday Classes 7:30PM Set of 9 (September 1,8,15,22 & 29 2010 & October 6,13,20 & 27 2010) - Advanced$126
Wednesday Classes 7:30PM Set of 9 (September 1,8,15,22 & 29 2010 & October 6,13,20 & 27 2010) - Masters$126
Wednesday Classes Set of 9 (September 1,8,15,22 & 29 2010 & October 6,13,20 & 27 2010) - 15 % discount add. Dog$107
Thursday Classes 7:00 PMSet of 9 (September 2,9,16,23 & 30 2010 & October 7,14,21 & 28 2010) - Starters$126
Thursday Classes 8:00PM Set of 9 (September 2,9,16,23 & 30 2010 & October 7,14,21 & 28 2010) - Intro/Foundation$126
Thursday Classes Set of 9 (September 2,9,16,23 & 30 2010 & October 7,14,21 & 28 2010) - 15 % discount add. Dog$107
Sundays Puppy Classes 4:30PM Set of 6 (September 5 & 26 2010 & October 10,17,24 & 31 2010) - Foundation/Puppy Classes$84
Sundays Puppy Classes 5:30PM Set of 6 (September 5 & 26 2010 & October 10,17,24 & 31 2010) - Puppy Classes$84
Sundays Puppy Classes 5:30PM Set of 6 (September 5 & 26 2010 & October 10,17,24 & 31 2010) - 15 % discount add. Dog$72