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) (*):