Professional Dog Grooming Certification Enrollment Form Survey

Student Personal Information
(If student ID is unknown, enter N/A)(Required.)

First Name

Last Name

Date of Birth

Email Address

Student ID # (if known)

Phone

Street Address

City

State

Zip

Confirm your Email Address(Required.)

Please list any former names (this helps if you already have an account in the system).

Are you right or left handed? (We need to know for your grooming kit)

Right Handed

Left Handed

Name of your current workplace: (optional)

By submitting this form, you are agreeing to enroll in, participate in and pay for the full Professional Dog Grooming Certification Program, which includes 2 online lecture classes and 9 hands-on lab sessions.

The total cost of the program is $4,799, which includes your textbook and a professional student grooming kit ($1,000 value) that you’ll keep. Since the program runs over two semesters, the full amount will not be billed for upfront. Instead, payments are split as follows:
$2,076.00 due by February 15, 2026
$2,723.00 due by June 30, 2026

Please note: You will receive an itemized bill listing all 11 classes separately. Your invoice will be mailed to the address provided.(Required.)

I understand that I will be enrolled in all 11 classes.

Select the ethnicity you most identify with (optional)

Gender (optional)

Are you paying for this class or is your employer?
If your employer is paying, please have them complete this form
Third Party Billing & Enrollment Authorization(Required.)

I am paying

My employer is paying

Professional Dog Grooming Certification Enrollment Form

Get ready to enhance your grooming skills!