Registration Form

Registration request for DOGSAFE 101 with K9ABCs
Available Dates
Sunday August 25th Chilliwack
Saturday October 12th Abbotsford
Saturday December 7th Chilliwack
K9ABCs 604-649-2995
Please note the red * double check form that all portions with * are complete before sending or it will kick back to you

* Indicates required field

Todays date *

Name (as it will be on your certificate) *

First

Last

COURSE REQUESTED Choose One *

August 25th CHILLIWACK 9-5. $150 October 12th ABBOTSFORD 9-5 $150 December 7th CHILLIWACK 9-5 $150

Email *

Mailing address *

Phone number *

Address Line 2 *

City *

Postal Code *

Country *

How did you hear about DOGSAFE with K9ABCs? *

Are you a dog professional? *

YES NO

Company Website *

PAYMENT OPTIONS

$150 Payment Options See bottom of form for explanation of each *

Cheque or cash mail to 5709 Stonehaven St. Chilliwack BC V2R 3Y6 Etransfer to k9abcs@hotmail.com Credit Card, ** %2.75 service charge on this method $ 4.13 An invoice will be emailed to you, no card info will be exchanged Gift Card Prepaid

Prepaid Giftcard Number (this is if you already have the gift card) *

Comment *

Payment must be received to reserve your space.
Confirmation of registration will be emailed on receipt of payment.

Cancellation Policy: Due to course popularity, please check your schedule carefully before registering as all courses are non-refundable and non-transferable to another date. Thank You! INITIAL *

Limitations of courses: By registering for courses, I understand that upon completion of any DOGSAFE course, I am certified in the knowledge and techniques of canine first aid yet not qualified to instruct others in canine first aid techniques. INITIAL *

Age Restriction: I confirm that I am 14 years of age or older. (If not, contact K9ABCs directly). INITIAL *

Etransfer can be done by anyone who does their banking on line. Simply log onto your online banking, go to where you make a Transfer of Funds or Bill Payment and you will also find the option for an Etransfer. Follow the instructions provided sending it to k9abcs@hotmail.com You will be asked to create a security question, just send me the answer in a separate email. Easy peasy.

Credit cards accepted by Square Visa/Master Card/American Express/Discover/JCB
This can also be done over the phone.

Submit

WHERE:
Hope to Langley B.C. area but open to teaching in surrounding areas if invited.

"Laurie, thank you . I think this course was amazing.
You are a great instructor and I can't wait to do Level 2 with you.
I think all pet owners should invest in this because it will help us be better pet owners.I am gonna tell everyone I know to take this course.The knowledge people will get from this is great.
DOGSAFE is excellent !!!!"

Ena Moore Jan. 2013