AKC Canine Good Citizen Registration Form
10:30AM Fall Session
Your Information
Tell Us A Little About Yourself...
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Tell Us About Your Dog
Dog's Name
Dog's Breed
Dog's Age
My Products
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Group Training Class
$
200.00
Quantity
1
Item subtotal:
$
0.00
Total
$
0.00
Credit Card
Vaccination Requirements
Please note that proof of required vaccinations will be required prior to admission to class. Dogs must be up to date on at least two rounds of the Distemper combo and Rabies. Vaccine records may be emailed to info@fourleggersdogdaycare.com or faxed to 978-922-4161
Signature
*
I understand that by submitting this registration I am holding a spot in the desired class This registration is non refundable or transferrable.
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