Class Registration Form

Owner's Name:
Dog & Breed:
Address & Zip:
Home Phone:
Work Phone:
Email:
Class name:
Class - Day/Time:
Class - Start Date:
Check# & Amount:

Print this form out and mail it to:

Canine Academy, 13655 San Antonio Road, Atascadero, CA 93422

**Be sure to include your payment with the registration form or your space will not be reserved. Money Orders or Checks should be made out to either Canine Academy or Eileen Harnedy.

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