Adult Temperament Tests by Lisa Barber  ($10 per dog)

Dog’s Name:_______________________________Call Name: __________________

Sex: _______Registration #: ______-_____-_______-____ D.O.B.: ______________

Age (at time of test) _______ Coat: ________________Color: ______________________

Has this dog been tested before?  _______ When? ____________________________ 

By Whom? _____________________________________________________________

Owners Name: ___________________________________________________________
 
City: ____________________ State/Providence: ______Country: _________________
  
Phone: ____________________________  Amount enclosed for this test: $ _________

Adult Temperament Test Certification Class by Lisa Barber and Lynette Segee  ($20 per person)

Number of people attending: _______Total amount enclosed for this class: $ _______

Name of person* attending: ______________________________________________

Is this your first test? _______ If not, please state the previous year(s) you were certified: _____________ By Whom Were You Certified? ______________________
Are you a member of the SSDCA? _____ Year Joined ________________________
SSDCA membership Number: ____________________________________________  
Member of a Chapter? ____Which chapter? _________________________________
Chapter Leader: _______________________________________________________

Training Problem Solving Seminar with Tina and Lisa Barber
 ($25 per person)

Number of people attending: ___________Name of dog(s) attending: ________________

Name of person(s) attending:_________________________________________________

Total amount enclosed for this seminar: $______________

Open Forum with Tina Barber

 ($25 per person if you are not registered in the Problem Solving Seminar)

Name of person(s) attending: ________________________________________________

Number of people attending: ______Total amount enclosed for this seminar: $________

Handling Seminar with Lisa Barber and Lyn Segee
$10 per person

Number of people attending: ______ Total amount enclosed for this seminar: $________

Structure Seminar by Fred Lanting
 ($25 per person)

Number of people attending: ______ Total amount enclosed for this seminar: $_______

Health Survey 2000 Seminar by Dr. George A. Padgett
($45 per person)

Number of people attending: _____ Total amount enclosed for this seminar: $_________