204.794.5456
christie@trainingloyalcompanions.com

Individual Registration

Please enter information in the form below to process registration for event Life Skilla level One Tuesday July 7th at 6:30PM.

First Name *

Last Name *

Address *

City *

Postal Code *

Phone *

Email *

Pets Names *

Breed *

Pets Gender *

Male

Female

If over 7 months, Is your pet spayed or neutered?

Yes

Pets Age/Date of Birth *

Pets Colour *

Veterinary Clinic You Attend *

Documents

TLC is requesting your dogs vaccine paperwork for the two DAPP vaccines, administered at 8, 12 and 16 weeks of age followed by booster vaccines recommended by your veterinarian.

Upload Vaccine Certificates

Upload Dog Passport

Upload Breeder Vaccine Papers

Contract & Agreement

Contract & Agreement *

I Agree to the Contract and Agreement

Payment Information

Amount

Tax Amount

Gross Amount

Payment Method

Offline Payment

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

204.794.5456 christie@trainingloyalcompanions.com

Individual Registration

Documents

Contract & Agreement

Payment Information

St Norbert Community Centre

204.794.5456
christie@trainingloyalcompanions.com