Deena Speaks Dog
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Course Registration

You have selected the following course:

Course name: Puppy Conditioning
Location: Hold My Paws
Date: Monday, February 18 - Monday, March 18, 2019
Time: 7:00 pm - 8:00 pm
Number of sessions: 5
Price: $175.00 (+ HST)
Please fill out this form completely. You will be taken to a confirmation page that contains a liability waiver, as well as payment information. Alternatively, you can pay directly on-line in the box provided below on the registration form. If you have any questions, please contact us by email.

YOUR INFORMATION
First name (*):
Last name (*):
Address 1 (*):
Address 2:
City (*):
Province/State (*):
Postal/Zip (*):
Phone number (*):
E-mail (*):
Re-type email (must match above) (*):

YOUR DOG'S INFORMATION
Dog's name (*):
Breed (*):
Date of birth (*):    
Sex (*):Male  Female
Spayed or neutered (*):Yes  No
Is your dog fully vaccinated (*):Yes  No
Veterinarian:
Clinic:
Has your dog had formal training before (*):Yes  No
If so, where:
What do you want to accomplish with your training:

PAYMENT
Payment option (*):Credit Card/Paypal online
In order to cut down on SPAM and make sure a human is filling out this form, please answer the following question:
How much is two plus two (spell out the answer) (*):

Since Deena's first visit Katie has improved by leaps and bounds...Katie is now able to participate in a class with other people and their dogs, a scenario I couldn't have imagined even a few months ago...Deena helped our household and my sanity and played a major role in ensuring Katie's forever home could provide her with a happy life.

- Leah

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