BCOA OFA Cardiac Clinic Sign-Up

BCOA OFA Cardiac Clinic Sign-Up

Dr. Sarah Bell DVM,DACVIM will be coming to perform OFA Echocardiograms and Auscultations! Wednesday - April 23rd, 2025 Location: Meadowview Conference Resort - 1901 Meadowview Pkwy, Kingsport TN 37660 For BCOA Members: Echocardiogram $340 For non BCOA members: Echocardiogram $375. There is a 5% service fee charge added. After hitting submit, you will be directed to the BCOA webpage store for payment. To complete registration to hold time slot, payment must be received. Please let us know if you have any questions - email kelleyfrary@gmail.com
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Call Name? *
Just need the call name for your dog, not registered name!
Breed?
AKC Registration #
or whatever registration # is on file for dog
Schedule your appointment?*
Are you a BCOA Member, non-BCOA Member but own borzoi, or own other breed of dogs?*

BCOA MemberNon-BCOA MemberOwn other breeds of dogs
Agreement:

By signing, I agree the Borzoi Club of America/Meadowview Conference Resort/Marriott Bonvoy/vets & vet techs performing exams will be indemnified and held harmless from any and all claims, actions, liabilities, suits, injuries, demands obligations, losses, settlements, judgements, damages, fines, penalities, costs and expenses.

By signing this agreement, I agree that I am obligated to pay the fee owed to BCOA within 3 days of signing up on this form.
Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty: