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Registration Form

Submit this form to reserve your space or phone Derek at (613) 389-2895.

*Name of Handler:

City / Town:

*Home Phone:

Work Phone:

*Email:

Fax:

Dog's Name:

Breed(s):

Birth Date/
Pup age in weeks:

Sex:

Male Female

Vet Clinic:


Spayed/Neutered:

Yes No

Vaccinations:

1st 2nd 3rd

 

 

Class:

How did you hear about us?

Comments:
- Behaviour Concerns
- Shy/Fearful
- Aggression (People/Dogs)
- Other

Payment by:

MC

Cash

Cheque

  • Puppies can start as young as 10 weeks with 2nd vaccinations
  • Adult dogs final vaccinations & rabies
  • Please bring proof of vaccination to first class.
 

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1132 Clyde Court (off Gardiners Rd & Cataraqui Woods Dr.)
Kingston, Phone (613) 389 - 2895
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