Registration Form

Clinic Registration Form for Equine or Canine Courses

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

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First 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 Canada
Full Day Clinic Registration

$169.00 CAD



Additional Members of same family
Full Day Clinic Registration

$119.00 CAD Quantity



Canine Health Canada
Full Day Clinic Registration - Canine Emergency First Aid & CPR

$159.00 CAD



Additional Members of same family
Full Day Clinic Registration - Canine Emergency First Aid & CPR

$109.00 CAD Quantity



Canine Health Canada
First Aid Fundamentals - live or online

$99.00 CAD Quantity



Total

$0.00 CAD
Name

First NameLast Name
Payment Methods

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

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Clinic Registration Form for Equine or Canine Courses