Registration Form

Clinic Registration Form for Equine or Canine Courses

Please fill in the form below to confirm your spot.
Full Name*

PrefixFirst NameLast Name
Full Name

PrefixFirst NameLast Name
Full Name

PrefixFirst NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Suggestions or topics you would like to be included in the workshop?
Clinic Date

MonthDayYear
Invoice to be paid upon receipt & clinic registrations will close 6 business days out to allow for shipment of manuals for participants out of the local area. Email equihcplus@gmail.com if you are registering late so instructor can be prepared to assist you.
Dedicated to the life and love of of our 4 legged companions
My Products
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Equi-Health CanadaFull Day Clinic Registration
$169.00CAD



Additional Members of same familyFull Day Clinic Registration
$119.00CAD Quantity



Canine Health CanadaFull Day Clinic Registration
$159.00CAD



Additional Members of same familyFull Day Clinic Registration
$109.00CAD Quantity



Canine Health CanadaFirst Aid Fundamentals - live or online
$99.00CAD Quantity



Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Clinic Registration Form for Equine or Canine Courses