Employer Information

Employer Name:*

Employer Email:*

Employer Salon Name:*

Employer Street Address:*

Employer City:*

Employer Province / State:*

Employer Country:*

Employer Postal Code / Zip Code:*

Employer Phone #:*

Employer Web / Facebook Address: (if applicable)

Are you a JKL Graduate?*

Yes   No

Is this training for first or subsequent employee?*

First  Subsequent

If subsequent, name of first employee:*

Current Employee's relationship to you:*

Please select: Friend Relative Self Salon Employee Mobile Employee

Employee Sign Up Information

Employee Name:*

Employee Email:*

Employee Street:*

Employee City:*

Employee Province / State:*

Employee Country:*

Employee Postal Code / Zip Code:*

Employee Social Insurance # (Canada Only)

Select a course below:

Diploma Dog Grooming Course

Click on down arrow to select: _$2200 -Diploma - Hands On _$1800 - Diploma - Hands Off

(plus applicable taxes in Canada)