Registration

Julie's Kanine K-12

Basic Obedience Class Dates *

Date Rabies *

Liability Statement

Date DHPP *

Breed *

Phone *

Veterinary Clinic *

Date Bordetella--not required strongly recommended

Dog's Name *

Age of Dog *

Name: *

Email: *

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Julie's Kanine K-12

Julie (Kustermann) Weitz

(320) 249-3928