Name *

Owner Name

First Name

Last Name

Additional Owner Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Phone Type *

Cell

Home

Work

Other Phone

(###)

###

####

Other Phone Type

Cell

Home

Work

Additional Owner Phone

(###)

###

####

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

How did you hear about us? *

Advertisement

Google

Instagram

Veterinarian

Website

Word of Mouth

Facebook

Other

Sex *

Male

Female

Neutered/Spayed *

Yes

No

Birthdate *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Owner Name *

First Name

Last Name

Sex *

Male

Female

Neutered/Spayed *

Yes

No

Birthdate *

MM

DD

YYYY

Clinic Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Clinic Phone *

(###)

###

####

Name *

First Name

Last Name

Phone *

(###)

###

####

Class registering for: *

Class Start Date & Time

Scentwork Level 3 - 10/2/2024 at 7:00 pm - $205 - 6 weeks

Payment Options *

We will email an invoice with payment information. Please tell us how you would like to pay.

I'm mailing a check (only available if class is more than 10 days before session date).

Send Credit Card invoice (convenience charge will apply).

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Sex *

Female

Female, Spayed

Male

Male, Neutered

DOB *

MM

DD

YYYY

Which test(s) are you registering for? *

Sunday, November 10, 2024 at 12:00 pm

CGC Test - $30

CGCU (Urban) Test - $30

CGCA (Advanced) Test - $30

CGCA & CGCU Tests - $60

CGC & CGCU Tests - $60

Payment Method *

We will email an invoice with payment information. Please tell us how you would like to pay.

Send Credit Card invoice (convience charge will apply).

I'm mailing a check (only available if class is more than 10 days before session date).

Name *

First Name

Last Name

Phone

(###)

###

####

Workshop 11/16/2024 at 10 am *

Rodeo Dog Workshop

Working Spot $60

Audit Spot $30

Payment Option *

We will email an invoice with payment information. Please tell us how you would like to pay.

Send credit card invoice ( convience fee will apply).

I'm mailing a check (only available if class is more than 10 days before session date).

Registration Status *

I am a current client with Canine Adventures.

I have already filled out a client registration form.

I will fill out the client registration form on the website next.

Name *

First Name

Last Name

Phone *

(###)

###

####

Date *

Select the date of the walk you want to attend.

11/10/2024 - Sunday at 4:00 pm - $25

11/10/2024 - Sunday at 4:00 pm - (with added Rosette) - $40

11/21/2024 - Thursday at 5:30 pm - $25

11/21/2024 - Thursday at 5:30 pm - (with added Rosette) - $40

Virtual - Certificate and AKC Medal - $30 (includes postage)

Virtual - Certificate, AKC Medal, & add Rosette - $45 (includes postage)

Payment Options *

We will email an invoice with payment information. Please tell us how you would like to pay.

I'm mailing a check (only available if class is more than 10 days before session date).

Send Credit Card invoice (convenience charge will apply).

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Sex *

Female

Female, Spayed

Male

Male, Neutered

DOB *

MM

DD

YYYY

Tests

Check all that apply

AKC CGC

UKC SPOT

AKC Trick Test

Check all that apply

Novice

Intermediate

Advanced

Performer

DMWYD Trick Tests

Check all that apply

Novice

Intermediate

Advanced

Expert

Payment Method *

We will email an invoice with payment information. Please tell us how you would like to pay.

I'm mailing a check

PayPal (convience fee will apply)

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Sex *

Male

Male, Neutered

Female

Female, Spayed

DOB *

MM

DD

YYYY

Date *

Select the date of the walk you want to attend.

4/20/2024 @ 1:00 pm

Virtual (postage rates will be applied to mail awards)

Payment Options *

I'm mailing a check

Send me an invoice to pay via PayPal

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Sex *

Female

Female, Spayed

Male

Male, Neutered

DOB *

MM

DD

YYYY

Which test are registering for? *

Wednesday, 9/18/2024 at 6:45pm

SPOT Evaluation - $30

Payment Method *

We will email an invoice with payment information. Please tell us how you would like to pay.

Send Credit Card invoice (convience charge will apply).

I'm mailing a check (only available if class is more than 10 days before session date).

Owner *

First Name

Last Name

Handler (if different than registered owner)

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Sex *

Male

Female

Date of Birth *

Must be at least 9 moths of age on date of test.

MM

DD

YYYY

How many tests would you like to test for this dog? *

1 Test

2 Tests

Payment Options *

I'm mailing a check (only available if class is more than 10 days before session date).

Send Credit Card invoice (convience charge will apply).

Name *

First Name

Last Name

Phone *

(###)

###

####

Class Registering for: *

Class Start Date & TIme

8/1/2024 at 6:30 pm (4 week class)

9/14/2024 at 1:00 pm (5 hour Workshop)

Payment Options *

We will email an invoice with payment information. Please tell us how you would like to pay.

Send Credit Card invoice (convenience charge will apply).

I'm mailing a check (only available if class is more than 10 days before session date).

Name *

First Name

Last Name

Phone

(###)

###

####

Introduction to Rats *

Class Date/Time

9/13/2024 at 6:00 pm

9/14/2024 at 10:00 am

Payment Options *

We will email an invoice with payment information. Please tell us how you would like to pay.

I'm mailing a check (only available if class is more than 10 days before session date).

Send Credit Card invoice (convience charge will apply).