home button History button Classes button Register button Links button Map button  

Registration Form

Submit this form to reserve your space with Visa/MC/Cash deposit with Gwen at 389-2895 or print and fax this page.

*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:

Visa

MC

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

home | history | classes | register | links | map
1132 Clyde Court (off Gardiners Rd & Cataraqui Woods Dr.)
Kingston, Phone (613) 389 - 2895 Email us

© 2005. All rights reserved LUV-A-K9. Designed by: Jewel Web Design