2006 Spring Clinic REGISTRATION FORM

Tuesdays: February 28, March 7, March 21, March 28, April 4, April 25
Wednesdays: March 1, March 8, March 22, March 29, April 5, April 26
Foundation Tuesdays 6:30-8:00 p.m.
Transitions, Wednesdays 8:15-9:45 p.m.

Putting it all together, Tuesdays 8:15-9:45 p.m.
C MY Spot Win, Wednesdays 6:30-8:00 p.m.


Please complete a form for each dog you are registering

NAME (people): ________________________________

ADDRESS: ___________________________________

PHONE: _____________________________________

ALT. PHONE: _________________________________

E MAIL ADDRESS: _____________________________

NAME (dog): __________________________________

BREED OF DOG: _______________________________

AGE of DOG: __________________________________

Please return form with $200 clinic fee to: Stacy Peardot-Goudy
                                                    P.O. Box 273432
                                                    Fort Collins, CO 80527