|
COPYRIGHT 2010 - grcab.com - all rights reserved
Greenbank Veterinary Services
Registrations Close October 8, 2012 - no exceptions Please make cheques payable to: The Golden Retriever Club of Alberta
NOTE: Post-dated cheques are not acceptable and we do not take Visa or Mastercard. SCHEDULE: Sunday – Oct 14 – 8AM – 5:00 PM You will be contacted either by phone or Email with your schedule the week of the clinic.
Heart and Eye Clinic October 14, 2012 ******* Please attach copy of CKC Registration to ensure accuracy ******* Please make cheques payable to: The Golden Retriever Club of Alberta Payment MUST accompany your registration Please send payment and registrations to: Brenda Kenchington 8985 - 96 Avenue Fort Saskatchewan, AB T8L 1E3 Email: pkenchi1@telusplanet.net Please make as many copies as you need.
PLEASE PRINT CLEARLY Owner’s Information Last Name:_________________________ First Name: ____________________
Address:________________________________ City:______________________ Email: ______________________________________ Appt Time of Day: Morning ____ or Afternoon ___ DOG Please check clinics requested: Heart ____ Eye ____ Call Name:_____________________ Reg. Name:___________________________________________ CKC Reg. Number: ________________Tattoo/Microchip#_____________ DOB: _________________________ ( eg: 25-Jul-2011) Sex: Male or Female (please circle) Breed: ___________________ Coat Color/Type _______________________ Has this dog attend a previous GRCA Clinic? If yes, what year: ______ |