Registration Form

Name:         _____________________________________________________

Address:    _____________________________________________________

        ____________________________    ______    _______________

                    City                                       Prov                 Area Code

Telephone:  Home ____________________    Work  ____________________  Cell  ____________________

E-Mail Address:  _______________________________________________

  

Please tell us the name of the course for which you are registering.

Puppy Socialization  ____                Level 1 Obedience  ____

Level 2 Obedience    ____                Agility                    ____

  

Please tell us about your dog.

Name:  _____________________________        Age:  _______ years  ________ months

Gender:  _____        Breed:  Mixed  ____    Purebred  _______________   Cross  _______________

                                                                                    Please specify                     Please specify

Previous Training:   __________________________________________________________________

  

Please provide other information about you and your dog that may be pertinent to participation.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

  

Please mail the completed form to Companion Dog Trainers Ltd., P.O. Box 454, Goulds   A15 1G6,

or drop off at our facility at 112 Ruby Line in the Goulds. Thank you.