Name of Class   
   Location of Class   
   Start Date   
   Owner Name   
   Home Phone / Alternate (Cell - Work - Page)   
   Address   
   Email Address   
   Dog's Name   
   Age/Sex/Breed   
   Veterinarian   
   Spayed/Neutered   
   Current On Vaccinations - we accept the following verification methods: Provide your Veterinarian's phone number or send proof via email or regular mail.   
   Last Fecal Exam   
   Is Your Pet On Heartworm and/or Flea Medication?   
   Please List Your Goals For The Class   
   Please List Problem Behaviors   
   Method Of Payment   
 

I hereby waive and release Christine Grove Williams, Christine's K-9 Service, employees/representatives of Christine's K-9 Service & the facility where the class is being held (whether it be Furry Critterz, Shaggy Pines, etc.) from any and all liability of any nature, for injury, damage or illness, which my dog or I may suffer. I expressly assume the risk of any such damage, injury or illness while attending class and while on the grounds or surrounding area where the class is held.

I understand and agree that cancellations must be made one week prior to the start of class to receive a full refund. I also understand that a 50% refund is available, after that point, only if this last min. vacancy in the class can be filled.

Agreement. By checking this box, I understand and agree with the waiver, release and cancellation clauses, stated above.

Signature:  ___________________________________________________________________
<Sign here if paying by Check or Cash>

 


Instructions:

If paying by Check or Cash:

  1. Select Print

  2. Sign your completed form

  3. Mail with your payment and provide proof of vaccinations*

 

If making an online payment (* There is an additional $5 payment processing fee *):

  1. Select Email (your registration form will be emailed automatically to Christine's K-9 Service). 

  2. On the Email confirmation page, select 'Pay Online' - You will then be transferred to our online payment page to complete your transaction. All online payments are securely processed by the PayPal Payment Processing System. You can pay by Credit Card or PayPal account. (You do not have to have a PayPal account to make an online payment)

  3. Remember to provide proof of vaccinations*

 

 

*Vaccination records must be received prior to your class start date. We accept the following verification methods:

  • If you provided your Veterinarian's phone number, we will call them for verification

  • or you may scan in your records and email them to canineservice@aol.com

  • or mail a copy to:

CHRISTINE’S K-9 SERVICE

P.O. BOX 212 ALTO, MI 49302  

 

 

 

                                               

Home | Class Schedule | Class Registration | Services | Ask Christine | Contact Information | Site Map

 

Christine's K-9 Service

(616) 868-0057

2009 Copyright Christine's K-9 Service, All Rights Reserved

This website created and supported by Hauptli Enterprises.