Enrollment: Step 2 - West Coast Grooming Academy

Section 1: Basic Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone*

Home Phone

Email*

Drivers License #*

Section 2: Animal Experience

Are You Allergic to Pets?*

Dogs Only
Cats Only
Both Cats & Dogs
None

What Pet(s) Do You Currently Own or Have Owned in the Past?*

Please List the Species, Breed & Name(s) of Your Pet(s):

Have You Ever Worked/Volunteered With a Non-Profit Organization?*

Yes
No

Any organization, does not have to be animal-related.

If So, Please Tell Us About the Organization & What You Did There:

Would You Be Interested in Volunteering at WCGA Outreach Events?

Yes, I'd Love to!
No
Maybe

WCGA provides monthly free grooming services to low/no-income communities & animal shelters.

Do You Have Previous Experience Working With Animals? If So, in What Capacity?*

If So, Tell Us More About It!

Do You Have Any Physical Limitations that May Alter Your Ability to Participate in the Course or Work as a Groomer?

Please Describe:

Do You Require Any Special Accommodations?

While we cannot guarantee that we are able to accommodate every request, we will certainly do our best to try!

How Did You Hear About Us?*

Do you have a DOR counselor?

Yes
Not Yet

DOR= Department of Rehabilitation

What is your counselor's name? (if known)*

What is your counselor's phone number? (if known)

What is your counselor's email address (if known)

If OTHER or REFERRAL, Who May We Thank For Referring You?

Section 3: Educational Goals

What Interests You About Working with Pets?*

Why Do You Want to Become a Professional Groomer?*

Aside from Becoming a Groomer, What Else Would You Like to Get Out of Your Experience at WCGA?*

Why Did You Chose WCGA for Your Educational Goals?*

Section 4: Course Information

Desired Campus Location

Arcadia
La Verne
Long Beach (coming soon!)
Hollywood
Playa Vista

Class Start Date

Section 5: Enrollment Agreements

Todays Date*

Initial*

Print Name*

Sign Date*

Signature*

Social Security Number (Optional)

If you would like to get a tax deduction based on the cost of your tuition please provide a social. If no social is provided there will be no tax deduction.

Please Upload Your Documents Here*

Please upload a copy of your drivers license, picture of yourself, and a copy of your high school diploma or GED. If you don't have a GED or diploma, you will need to schedule an appointment to take the school's entrance exam in person in either Arcadia or Playa Vista before your class starts.

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 264 MB, Max. files: 3.

Section 6: Grooming Tool Kits (optional)

Tool Kit Option*

Click here to view the different tool kit options.
If you choose not to buy a kit, rentals are provided at $5/per day -or- you may bring your own WCGA approved tools.

Which is your Dominant Hand?

Right-Handed
Left-Handed

If you chose to purchase a tool kit, please be sure to select the correct handed tool kit. There is an additional fee for left handed tool kits.

T-Shirt Size (Men's/Unisex)*

Smocks are available for purchase for $43-$46 per sock. One (1) Smock is included in each tool kit, if purchased. Smocks are not required for the course, but are recommended.

Section 7: Tuition Payment

I would like to pay...*

The full course amount today
The course deposit today

Course Deposit*

Price:

Includes 2.5% credit card processing fee.

Registration Fee*

Price:

Includes 2.5% credit card processing fee ($6.25)

Introduction To Grooming Course*

Price:

Includes 2.5% credit card processing fee ($150.00).

Dog Groomer Certification Course*

Price:

Includes 2.5% credit card processing fee ($150.00).

If You Have a Coupon Code Enter It Here:

If you have a coupon code enter it here:

Discount*

Price:

Discount*

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Discount*

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Tax (10.25%)*

Price: $0.00

Tax (10.25%)*

Price: $0.00

Total

$0.00

Credit Card or Debit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

I understand*

I agree that I have read and understand both contracts and that my form information, initials, and signature will be digitally applied to both documents.*

Step 2: Enrollment agreements & payment

Enrollment Documents to Review:

Section 1: Basic Information

Section 2: Animal Experience

Section 3: Educational Goals

Section 4: Course Information

Section 5: Enrollment Agreements

Section 6: Grooming Tool Kits (optional)

Section 7: Tuition Payment