The National Dog Groomers Association of America, Inc.

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October 25, 26 & 27, 2019 34th Annual Fun In The Sun (show program available in mid-august 19) Houston, TX February 2nd & 3rd, 2019 A Dog s ife Pet Salon 7812 ouetta Td. Spring, TX 77379 281-370-3647 - Element Houston Vintage Park, 14555 Vintage Preserve Parkway, Houston TX 77077 281-379-7300 ast day to pre-register for this site - January 18th Certifiers: Wendy Booth, NCMG & Sue Watson, NCMG Educational Workshop... Saturday, February 2nd, 2019 Private Certification Test Session...Sunday, February 3rd, 2019 Registration Deadline Is: Jan. 18th

Don t miss these exciting s June 7, 8 & 9, 2013 4th Annual Colorado GroomFest Crowne Plaza, Denver, CO (show program available in mid-march 13) October 25, 26 & 27, 2013 28th Annual Fun In The Sun Wyndham, Orlando, Fl (show program available in mid-august 13) VISIT OUR WEBSITE... Barrington, I April 7th & 8th, 2013 Midwest School of Grooming 557 North Hough St. Barrington, I 60010 847-756-4766 - America s Best Value Inn, 405 W Northwest Hwy, Barrington, I 60010 847-381-2640 ast day to pre-register for this site - March 22nd Certifiers: Julie Ostoski, NCMG & isa eady, NCMG Educational Workshop... Sunday, April 7th, 2013 1:00-4:00... Special Skills & Techniques Program 4:30... Written exams for those testing will be given at this time. Private Certification Test Session...Monday, April 8th, 2013 Registration Deadline Is: March 724-962-2711 ndga@nationaldoggroomers.com

October 27, 28 & 29, 2017 31st Annual Fun In The Sun (show program available in mid-august 17) Birmingham, A April 1st & 2nd, 2017 Happy Hounds Pet Spa 2539 John Hawkins Pky #145 Hoover, A 35244 205-419-0115 - a Quinta, 120 Riverchase Pky East, Hoover, A 35244 ph 205-403-0096 ast day to pre-register for this site - March 17th Certifiers: Judy Hudson, NCMG & Chris Pawlosky, NCMG Educational Workshop... Saturday April 1st, 2017 Private Certification Test Session...Sunday, April 2nd, 2017 Registration Deadline Is: March 17th 724-962-2711 ndga@nationaldoggroomers.com

October 27, 28 & 29, 2017 31st Annual Fun In The Sun (show program available in mid-august 17) Jenison, MI June 3rd & 4th, 2017 Paragon School of Pet Grooming 110 Chicago Dr., Jenison, MI 49428 (616) 667-7297 Grand Village Inn, 3425 Fairlanes Ave., SW, Grandville, MI 49418-616-532-3222 - Pets Accepted ast day to pre-register for this site - May 19th Certifiers Sue Zecco, NCMG & Judy Hudson, NCMG Educational Workshop... Saturday, June 3rd, 2017 Private Certification Test Session... Sunday, June 4th, 2017 Registration Deadline Is: May 19th

October 28, 29 & 30, 2016 31st Annual Fun In The Sun (show program available in mid-august 16) Harrisburg, PA April 17th & 18th, 2016 Frank Rowe & Son, Inc. 26 South Union St., Middletown, PA 17057 717-616-8646 - Econoodge 115 ucy Ave., Hershey, PA 17033 ph 717-533-2515 ast day to pre-register for this site - April 1st Certifiers: Sally Hawks, NCMG & Chris Pawlosky, NCMG Educational Workshop... Sunday April 17th, 2016 Private Certification Test Session...Monday, April 18th, 2016 Registration Deadline Is: April 1st 724-962-2711 ndga@nationaldoggroomers.com

October 26, 27 & 28, 2018 33rd Annual Fun In The Sun (show program available in mid-august 18) Midlothian, VA March 25th & 26th, 2018 Groomer s Mall 1701 Oak ake Blvd E, Midlothian, VA 23112 800-537-7361 Four Points by Sheraton, 9901 Midlothian Turnpike, Richmond, VA 23235 804-323-1144 Pets Accepted Certifiers Sally Hawks, NCMG & Christina Pawlosky, NCMG Educational Workshop... Sunday, March 25th, 2018 Private Certification Test Session... Monday, March 26th, 2018 Registration Deadline Is: March 9th

October 27, 28 & 29, 2017 31st Annual Fun In The Sun (show program available in mid-august 17) Ft. auderdale, F Feb. 26th & 27th, 2017 Merryfield School of Pet Grooming 5040 NE 13 Ave. Ft. auderdale, F 33334 (954) 771-4030 Extended Stay, Cypress Creek - 5851 N Andrews Ave. Ft. auderdale, F -954-776-9447 Pets Accepted ($25 pet fee) Certifiers Irina Pinkusevich, NCMG & Joan Anderson, NCMG Educational Workshop... Sunday, Feb. 26th, 2017 Private Certification Test Session... Monday, Feb. 27th, 2017 Registration Deadline Is: Feb. 10th 724-962-2711 ndga@nationaldoggroomers.com

October 28,29 & 30, 2016 31st Annual Fun In The Sun (show program available in mid-august 16) American Fork, UT June 26th & 27th, 2016 Precious Pet Paradise 95 West 700 South Pleasant Grove, UT 84062 801-492-7746 - Holiday Inn Express, 712 S Utah Valley Dr., American Fork, UT 84003 801-763-8500 Certifiers: Wendy Booth, NCMG & Michell Evans, NCMG Educational Workshop... Sunday, June 26th, 2016 Private Certification Test Session... Monday, June 27th, 2016 Registration Deadline Is: June 10th 724-962-2711 ndga@nationaldoggroomers.com

October 23, 24 & 25, 2015 30th Annual Fun In The Sun (show program available in mid-august 15) Austin, Texas April 26th & 27th 2015 Amazing Pet Grooming 2410 Greenlawn Parkway Austin, TX 78757-512-453-6205 Embassy Suites-Austin Central 5901 North IH-35, Austin, TX 78723-512-454-8004 Certifiers Julie Ostoski, NCMG & Joan Anderson NCMG Educational Workshop... Sunday, April 26th, 2015 Private Certification Test Session... Monday, April 27th, 2015 Registration Deadline Is: April 10th 724-962-2711 ndga@nationaldoggroomers.com

October 27, 28 & 29, 2017 32nd Annual Fun In The Sun (show program available in mid-august 17) Rochester, NY June 18th & 19th 2017 Rochester School of Dog Grooming 3160 E. Henrietta, Rd. Henrietta, NY 14427-585-359-9710 Radiance Inn, 1956 yell Ave, Rochester, NY 14606 585-254 1000 -- Pets Accepted Certifiers Jodi Murphy, NCMG & Diane Betelak, NCMG Educational Workshop... Sunday, June 18th Private Certification Test Session... Monday, June 19th Registration Deadline Is: June 2nd

October 26, 27 & 28, 2018 33rd Annual Fun In The Sun (show program available in mid-august 18) Davis, California June 2nd & 3rd, 2018 FEDSPAR PET SPA 1260 ake Blvd, #118, Davis, CA 95616 530-753-2881 Econoodge - 221 D St., Davis, CA 95616 530-756-1040 -- Pets Accepted Certifiers Ann Martin, NCMG & Nancy Han, NCMG Educational Workshop... Saturday, June 2nd, 2018 Private Certification Test Session... Sunday, June 3rd, 2018 Registration Deadline Is: MAY 18th

October 26, 27 & 28, 2018 33rd Annual Fun In The Sun (show program available in mid-august 18) Madison, WI September 16th & 17th, 2018 Serenity Pet Spa 6039 Odana Rd. Madison, WI 53719 608-235-8916 - aquinta Inn 5217 E Terrace Dr., Madison, WI 53718 608-245-0123 ast day to pre-register for this site - Aug. 31st Certifiers: isa eady, NCMG & Sue Watson, NCMG Educational Workshop... Sunday, Sept. 16th Private Certification Test Session...Monday, Sept. 17th Registration Deadline Is: Aug. 31st

October 26, 27 & 28, 2018 33rd Annual Fun In The Sun (show program available in mid-august 18) Oakland Park, F July 29th & 30th, 2018 Päsh The Canine Boudoir 3531 N Andrews Ave, Oakland Park, F 33309 (954) 908-1670 Extended Stay, Cypress Creek - 5851 N Andrews Ave. Ft. auderdale, F -954-776-9447 Pets Accepted ($25 pet fee) Certifiers Irina Pinkusevich, NCMG & Joan Anderson, NCMG Educational Workshop... Sunday, July 29th, 2018 Private Certification Test Session... Monday, July 30th, 2018 Registration Deadline Is: July 13th

Workshop Information - Our Workshop & Certification program was developed so all groomers may have the opportunity to participate in an innovative & educational workshop as well as provide a way that they may have their grooming skills evaluated and certified. All groomers are encouraged to attend an NDGAA accredited workshop and are not required to register for the certification test. PRE-REGISTERED attendees will receive a certificate of attendance suitable for framing and our official educational literature booklet to use as a reference in their shops. Time permitting we will discuss some of the topics: groomer health, independent contractors, proper shop set up, computerizing your grooming salon, occupational diseases, canine ear and nail care, scissor maintenance, first aid & accidents in the shop, safe usage of pesticides, pricing, lyme disease & carpal tunnel. The Workshop Will Consist Of: Orientation... An extensive explanation of the testing procedure as well as NDGAA membership programs and benefits, followed by a question and answer session. Breed Demo s... Demonstrations will consist of showing the proper breed profiles on certifiable breeds available to us at the site. Points that will be discussed include; breed conformation with emphasis on balance, symmetry and smoothness of finish. Stripping, Thinning & Carding - Whether you are new to these techniques or want to perfect your skills, our certifiers will show you the correct method of grooming a hard coat and what to do with a blown coat. We will go over the correct usage of stripping knives, thinning shears, stripping blocks and stripping with blades. Patterns - Certifiers will share with you the correct line placements on terrier and sporting breeds, as well as correct feet, ears and heads. We will also touch on how to evaluate the poodle for proper pattern placement and how to achieve the proper poodle topknot. Acceptable breeds for the Certification Testing Session are: *Non-Sporting - Mini or Toy Poodle or Bichon, *Sporting - American or English Cocker Spaniel or English Springer. * Terrier - ong egged breeds include: Miniature Schnauzer or Wire Fox Terrier or Bedlington, Kerry Blue or Soft Coated Wheaten. *Terrier - Short egged breeds include: West Highland Terrier, Scottish Terrier, Sealyham Terrier or the Hand-stripped Cairn Terrier. (choose 2 terriers, 1 from long-legged and 1 from short-legged). A 100 question written exam is administered with each phase. The Master Exam consists of 400 questions. Groomers registered for certification testing must supply their own dog(s) and equipment. More information on the above breeds can be found in NDGAA s Breed Profile Guidelines. It is recommended that you purchase the guidelines as they will aid in your preparation for the workshop as well as the testing session. Guidelines are available in the Non-Sporting, Sporting and Terrier groups (14 breeds in all). Order guidelines using the attached form, enclose $45 for the set and receive the written exams study guide sheet with sample questions, NCMG written exam study materials and Workshop/Certification Program Guidelines. (AKC Book, AKC ID Chart & Notes from the Grooming Table book sold seperately). You must attend at least one workshop before participating in the Certification Testing session. All attendee s must be PRE-REGISTERED by the deadline date listed. Confirmation letter and map will be mailed approximately 14 days prior to this event. QUESTIONS??? NDGAA, P.O. Box 101, Clark PA 16113 Ph (724) 962-2711 Fax (724) 962-1919 email - info@ndgaa.com Register online: www.ndgaa.com Specific grooming/testing questions contact: Wendy Booth Certification Coordinator 719-632-5446 w_booth@hotmail.com PRE-REGISTER BY Aug. 31st, 2018 [ ] - I have enclosed $45 for the breed profile guidelines (14 breeds in all), written exam study guide sheet, NCMG written exam study materials (pesticides, cat bathing procedures and Workshop/Certification Guidelines. Name Shop Name Shop Address City/State/Zip Home Address City/State/Zip METHOD OF PAYMENT -[ ]Check/Money Order enclosed. Bill my [ ]Mastercard [ ]Visa. [ ] AmEx [ ]Disc. Name on card Credit Card # Amount$ Sh. Phone Cell Phone Email Address WORKSHOP REGISTRATION... $125 per person...$ ($150 at the door if space is available) Membership# NDGAA Members pay $110...$ NCMG s pay special workshop fee of $75...$ CERTIFICATION TEST REGISTRATION $125 per phase- ($150 at the door if space is available) Check off the phases you will be taking at this test site... [ ] Non-Sporting-$125 [ ] Sporting-$125 [ ] Terrier (2 terriers)-$125- or - [ ] ongeg Tr $75* [ ] Shorteg Tr $75* *select Tr written [ ] NCMG Exam-$125 TOTA ENCOSED...$ Expiration Date Sec. Code Important Notice to Test Registrants: If you fail to report at the assigned time and area to take your written and/or practical examinations your testing fees for that phase will be forfeited. There will be no refunds or credits awarded for No Shows. All fees owed are payable to NDGAA, Box 101, Clark PA 16113 by check, money order or credit card and must accompany this application. (Fees will only be refunded in the event this site is canceled due to lack of interest or some unforeseen event). Cancellation may occur in the 10 days before the date of this event. Test fees will not be refunded if failure/excusal is enforced. Registration deadline for this site is Aug. 31st, Confirmation letter will be mailed on Sept. 4th. I agree to absolve the officers/consultants of any legal claim for loss or injury to myself, my dog(s) or equipment while attending NDGAA s Workshop/Certification site. I agree to abide by the rules & regulations and to accept the Certifier s decision as final and binding. Signature This $125 fee includes both the written and practical skills exam in each breed group. $75 fee for each Terrier does NOT include Tr written exam - *please check Tr written below. NDGAA Member# If taking the practical skills exam you MUST also take the written exam. You MUST be a Member to take written exams only! [ ] Non-Sporting -$60 [ ] Sporting-$60 [ ] *Terrier -$60 Date

Workshop Information - Our Workshop & Certification program was developed so all groomers may have the opportunity to participate in an innovative & educational workshop as well as provide a way that they may have their grooming skills evaluated and certified. All groomers are encouraged to attend an NDGAA accredited workshop and are not required to register for the certification test. PRE-REGISTERED attendees will receive a certificate of attendance suitable for framing and our official educational literature booklet to use as a reference in their shops. Time permitting we will discuss some of the topics: groomer health, independent contractors, proper shop set up, computerizing your grooming salon, occupational diseases, canine ear and nail care, scissor maintenance, first aid & accidents in the shop, safe usage of pesticides, pricing, lyme disease & carpal tunnel. The Workshop Will Consist Of: Orientation... An extensive explanation of the testing procedure as well as NDGAA membership programs and benefits, followed by a question and answer session. Breed Demo s... Demonstrations will consist of showing the proper breed profiles on certifiable breeds available to us at the site. Points that will be discussed include; breed conformation with emphasis on balance, symmetry and smoothness of finish. Stripping, Thinning & Carding - Whether you are new to these techniques or want to perfect your skills, our certifiers will show you the correct method of grooming a hard coat and what to do with a blown coat. We will go over the correct usage of stripping knives, thinning shears, stripping blocks and stripping with blades. Patterns - Certifiers will share with you the correct line placements on terrier and sporting breeds, as well as correct feet, ears and heads. We will also touch on how to evaluate the poodle for proper pattern placement and how to achieve the proper poodle topknot. Acceptable breeds for the Certification Testing Session are: *Non-Sporting - Mini or Toy Poodle or Bichon, *Sporting - American or English Cocker Spaniel or English Springer. * Terrier - ong egged breeds include: Miniature Schnauzer or Wire Fox Terrier or Bedlington, Kerry Blue or Soft Coated Wheaten. *Terrier - Short egged breeds include: West Highland Terrier, Scottish Terrier, Sealyham Terrier or the Hand-stripped Cairn Terrier. (choose 2 terriers, 1 from long-legged and 1 from short-legged). A 100 question written exam is administered with each phase. The Master Exam consists of 400 questions. Groomers registered for certification testing must supply their own dog(s) and equipment. More information on the above breeds can be found in NDGAA s Breed Profile Guidelines. It is recommended that you purchase the guidelines as they will aid in your preparation for the workshop as well as the testing session. Guidelines are available in the Non-Sporting, Sporting and Terrier groups (14 breeds in all). Order guidelines using the attached form, enclose $45 for the set and receive the written exams study guide sheet with sample questions, NCMG written exam study materials and Workshop/Certification Program Guidelines. (AKC Book, AKC ID Chart & Notes from the Grooming Table book sold seperately). You must attend at least one workshop before participating in the Certification Testing session. All attendee s must be PRE-REGISTERED by the deadline date listed. Confirmation letter and map will be mailed approximately 14 days prior to this event. QUESTIONS??? NDGAA, P.O. Box 101, Clark PA 16113 Ph (724) 962-2711 Fax (724) 962-1919 email - info@ndgaa.com Register online: www.ndgaa.com Specific grooming/testing questions contact: Wendy Booth Certification Coordinator 719-632-5446 w_booth@hotmail.com PRE-REGISTER BY May 5th, 2017 [ ] - I have enclosed $45 for the breed profile guidelines (14 breeds in all), written exam study guide sheet, NCMG written exam study materials (pesticides, cat bathing procedures and Workshop/Certification Guidelines. Name Shop Name Shop Address City/State/Zip Home Address City/State/Zip METHOD OF PAYMENT -[ ]Check/Money Order enclosed. Bill my [ ]Mastercard [ ]Visa. [ ] AmEx [ ]Disc. Name on card Credit Card # Amount$ Sh. Phone Cell Phone Email Address WORKSHOP REGISTRATION... $125 per person...$ ($150 at the door if space is available) Membership# NDGAA Members pay $110...$ NCMG s pay special workshop fee of $75...$ CERTIFICATION TEST REGISTRATION $125 per phase- ($150 at the door if space is available) Check off the phases you will be taking at this test site... [ ] Non-Sporting-$125 [ ] Sporting-$125 [ ] Terrier (2 terriers)-$125- or - [ ] ongeg Tr $75* [ ] Shorteg Tr $75* *select Tr written [ ] NCMG Exam-$125 TOTA ENCOSED...$ Expiration Date Sec. Code Important Notice to Test Registrants: If you fail to report at the assigned time and area to take your written and/or practical examinations your testing fees for that phase will be forfeited. There will be no refunds or credits awarded for No Shows. All fees owed are payable to NDGAA, Box 101, Clark PA 16113 by check, money order or credit card and must accompany this application. (Fees will only be refunded in the event this site is canceled due to lack of interest or some unforeseen event). Cancellation may occur in the 10 days before the date of this event. Test fees will not be refunded if failure/excusal is enforced. Registration deadline for this site is May 5th. Confirmation letter will be mailed on May 8th. I agree to absolve the officers/consultants of any legal claim for loss or injury to myself, my dog(s) or equipment while attending NDGAA s Workshop/Certification site. I agree to abide by the rules & regulations and to accept the Certifier s decision as final and binding. Signature This $125 fee includes both the written and practical skills exam in each breed group. $75 fee for each Terrier does NOT include Tr written exam - *please check Tr written below. NDGAA Member# If taking the practical skills exam you MUST also take the written exam. You MUST be a Member to take written exams only! [ ] Non-Sporting -$60 [ ] Sporting-$60 [ ] *Terrier -$60 Date

October 27, 28 & 29, 2017 31st Annual Fun In The Sun (show program available in mid-august 17) Paxton, Mass. August 27th & 28th, 2017 Pampered Pet 711 Pleasant St. Paxton, Mass 01612 (508) 826-7093 Sturbridge Host Hotel, 366 Main St., Sturbridge, MA 01566 508-347-7393 Pets Accepted Certifiers Sue Zecco NCMG & Judy Hudson, NCMG Educational Workshop... Sunday, Aug. 27th, 2017 Private Certification Test Session... Monday, Aug. 28th, 2017 Registration Deadline Is: Aug. 11th

October 26,27 & 28, 2018 32nd Annual Fun In The Sun (show program available in mid-august 18) JACKSONVIE, F April 29th & 30th, 2018 GREEN DOG SPA 11048-7 Baymeadows Rd., Jacksonville, F 32256 (904) 683-5301 a Quinta, 4686 enoir Ave., Jacksonville, F 32216 (904) 296-0703 - Pets Accepted Certifiers Joan Anderson, NCMG & Irina Pinkusevich, NCMG Educational Workshop... Sunday, April 29th, 2018 Private Certification Test Session... Monday, April 30th, 2018 Registration Deadline Is: April 13th

October 25, 26 & 27, 2019 34th Annual Fun In The Sun (show program available in mid-august 19) BRADENTON, F January 26th & 27th, 2019 SEE SPOT GROOMING 8722 St. Rd 70 E, Bradenton, F 34202 (941) 751-1750 Days Inn, 644 67th St Circle East, Bradenton, F, 34208 941-782-9496 - Pets Accepted Certifiers Sue Zecco, NCMG & Irina Pinkusevich, NCMG Educational Workshop... Saturday, January 26th, 2019 Private Certification Test Session... Sunday, January 27th, 2019 Registration Deadline Is: Jan. 11th

Workshop Information - Our Workshop & Certification program was developed so all groomers may have the opportunity to participate in an innovative & educational workshop as well as provide a way that they may have their grooming skills evaluated and certified. All groomers are encouraged to attend an NDGAA accredited workshop and are not required to register for the certification test. PRE-REGISTERED attendees will receive a certificate of attendance suitable for framing and our official educational literature booklet to use as a reference in their shops. Time permitting we will discuss some of the topics: groomer health, independent contractors, proper shop set up, computerizing your grooming salon, occupational diseases, canine ear and nail care, scissor maintenance, first aid & accidents in the shop, safe usage of pesticides, pricing, lyme disease & carpal tunnel. The Workshop Will Consist Of: Orientation... An extensive explanation of the testing procedure as well as NDGAA membership programs and benefits, followed by a question and answer session. Breed Demo s... Demonstrations will consist of showing the proper breed profiles on certifiable breeds available to us at the site. Points that will be discussed include; breed conformation with emphasis on balance, symmetry and smoothness of finish. Stripping, Thinning & Carding - Whether you are new to these techniques or want to perfect your skills, our certifiers will show you the correct method of grooming a hard coat and what to do with a blown coat. We will go over the correct usage of stripping knives, thinning shears, stripping blocks and stripping with blades. Patterns - Certifiers will share with you the correct line placements on terrier and sporting breeds, as well as correct feet, ears and heads. We will also touch on how to evaluate the poodle for proper pattern placement and how to achieve the proper poodle topknot. Acceptable breeds for the Certification Testing Session are: *Non-Sporting - Mini or Toy Poodle or Bichon, *Sporting - American or English Cocker Spaniel or English Springer. * Terrier - ong egged breeds include: Miniature Schnauzer or Wire Fox Terrier or Bedlington, Kerry Blue or Soft Coated Wheaten. *Terrier - Short egged breeds include: West Highland Terrier, Scottish Terrier, Sealyham Terrier or the Hand-stripped Cairn Terrier. (choose 2 terriers, 1 from long-legged and 1 from short-legged). A 100 question written exam is administered with each phase. The Master Exam consists of 400 questions. Groomers registered for certification testing must supply their own dog(s) and equipment. More information on the above breeds can be found in NDGAA s Breed Profile Guidelines. It is recommended that you purchase the guidelines as they will aid in your preparation for the workshop as well as the testing session. Guidelines are available in the Non-Sporting, Sporting and Terrier groups (14 breeds in all). Order guidelines using the attached form, enclose $45 for the set and receive the written exams study guide sheet with sample questions, NCMG written exam study materials and Workshop/Certification Program Guidelines. (AKC Book, AKC ID Chart & Notes from the Grooming Table book sold seperately). You must attend at least one workshop before participating in the Certification Testing session. All attendee s must be PRE-REGISTERED by the deadline date listed. Confirmation letter and map will be mailed approximately 14 days prior to this event. QUESTIONS??? NDGAA, P.O. Box 101, Clark PA 16113 Ph (724) 962-2711 Fax (724) 962-1919 email - info@ndgaa.com Register online: www.ndgaa.com Specific grooming/testing questions contact: Wendy Booth Certification Coordinator 719-632-5446 w_booth@hotmail.com PRE-REGISTER BY Jan. 18th 2019 [ ] - I have enclosed $45 for the breed profile guidelines (14 breeds in all), written exam study guide sheet, NCMG written exam study materials (pesticides, cat bathing procedures and Workshop/Certification Guidelines. Name Shop Name Shop Address City/State/Zip Home Address City/State/Zip METHOD OF PAYMENT -[ ]Check/Money Order enclosed. Bill my [ ]Mastercard [ ]Visa. [ ] AmEx [ ]Disc. Name on card Credit Card # Amount$ Sh. Phone Cell Phone Email Address WORKSHOP REGISTRATION... $125 per person...$ ($150 at the door if space is available) Membership# NDGAA Members pay $110...$ NCMG s pay special workshop fee of $75...$ CERTIFICATION TEST REGISTRATION $125 per phase- ($150 at the door if space is available) Check off the phases you will be taking at this test site... [ ] Non-Sporting-$125 [ ] Sporting-$125 [ ] Terrier (2 terriers)-$125- or - [ ] ongeg Tr $75* [ ] Shorteg Tr $75* *select Tr written [ ] NCMG Exam-$125 TOTA ENCOSED...$ Expiration Date Sec. Code Important Notice to Test Registrants: If you fail to report at the assigned time and area to take your written and/or practical examinations your testing fees for that phase will be forfeited. There will be no refunds or credits awarded for No Shows. All fees owed are payable to NDGAA, Box 101, Clark PA 16113 by check, money order or credit card and must accompany this application. (Fees will only be refunded in the event this site is canceled due to lack of interest or some unforeseen event). Cancellation may occur in the 10 days before the date of this event. Test fees will not be refunded if failure/excusal is enforced. Registration deadline for this site is Jan. 18th. Confirmation letter will be mailed on Jan. 21st. I agree to absolve the officers/consultants of any legal claim for loss or injury to myself, my dog(s) or equipment while attending NDGAA s Workshop/Certification site. I agree to abide by the rules & regulations and to accept the Certifier s decision as final and binding. Signature This $125 fee includes both the written and practical skills exam in each breed group. $75 fee for each Terrier does NOT include Tr written exam - *please check Tr written below. NDGAA Member# If taking the practical skills exam you MUST also take the written exam. You MUST be a Member to take written exams only! [ ] Non-Sporting -$60 [ ] Sporting-$60 [ ] *Terrier -$60 Date