YOUR INFORMATION

 Name      

 Address     Postal Code

 City              Email

 Home Phone             Business/Cell Phone 

 YOUR DOG'S INFORMATION

 Dog's Name   Breed

 Date of Birth/Age             Male Female

 Your Vet's Name 

 Where did you get your dog?

 Is there anything else we should know about your dog?

 

 CLASS INFORMATION

 Class you would like to register for:  Canine Good Neighbour $150 Pet Dog Manners Level 1 $150 Pet Dog Manners Level 2 $150 Puppy Headstart $150 Puppy Level 1 $175 Puppy Level 2 $150 Private Initial Consulation $80 Private Training $55/hr Shy/Reactive Dog $200 Tracking Level 1 $225 Tracking Level 2 $225

 Start Date  [check Class Info page]

 PAYMENT INFORMATION

 We accept cash, cheque [payable to Canine Chaos] or credit/debit via PayPal

 You can  Pay now via PayPal
                   [select this option, submit the form then go to Payment Page]

              Pay on the first day of class [we accept cash, cheque or money order]