Contact information (Do not click on the pencil)
YOU MAY PRINT THIS OUT FOR YOUR RECORDS.
FIRST AID "FUR" PETS offering...
....the WALKS 'N' WAGS pet first aid course
Registration Form (see
for additional information not covered on this registration form)
Name (as you would like on your certificate)
Course choice - click on circle of your choice
NOV. 10, 2018, SECHELT, BC, 9am-7pm, 5838 Barnacle St. Sechelt, BC
JAN. 5/6, 2019, 10-4pm, DCAS, Delta Community Animal Shelter, 7505 Hopcott Road, Delta, BC
JAN. 19/20, 2019, 10-4pm, GARDENWORKS at MANDEVILLE, 4746 Marine Dr, Burnaby, BC
FEB. 10, 2019, 9-7pm, NOAH'S BARQUE, 1835 Ambleside Lane, West Vancouver, BC V7V 4W4
MAR. 2/3, 2019, 10-4pm, DCAS, Delta Community Animal Shelter, 7505 Hopcott Road, Delta, BC
MAR. 10, 2019, 9am - 7pm 5838 Barnacle St. Sechelt, BC
COURSE FEE/S: = $
$149 (one person)
$278 (2 people attending the same course)
PET FIRST AID KITS
ADD ( ) FULL-SIZED PET FIRST AID KIT/S @ $55 EACH X ( ) = $
ADD ( ) COMPACT PET FIRST AID KIT/S @ $36 EACH X ( ) = $
ADD ( ) POCKET PET FIRST AID KIT/S @ $15 EACH X ( ) = $
TOTAL = $
NOTE: Pet first aid kits paid for with this course will be available on the day of the course.
PAYMENT - Payment is due upon registration, to reserve your space in the course. Course spaces will not be guaranteed until payment has been received. Please note that you will be contacted following receipt of both your registration form and your payment together. Should a course be full, a notice will be placed on the website page:
Interac (e-mail to
Credit card through Paypal - go to:
Website payment link:
Spaces fill on a first come, first served basis, so we recommend registering as early as possible. Administration fee $25 for cancellations within one week of course start date. No refund for cancellations within 48 hours of course start date.
DOG REGISTRATION - (ONLY FILL THIS PART OUT, IF YOU ARE DEFINITELY BRINGING YOUR DOG/S.) Dogs are optional, but welcome, according to the following conditions: First Aid "Fur" Pets assumes no liability should damage and/or injury be caused by your dog. for the safety of your dog/'s and other dog/'s attendees, your dog/'s should have up-to-date vaccinations. If you are intending to bring your obedient dog/'s who can tolerate a 10-hour course with breaks, and multiple people practicing first aid on him/her/them, then he/she/they will be most welcome. If your dog/'s behaviour becomes unacceptable for any reason, you would have to remove him/her/them from the venue.
You will be responsible for providing your dog with food and water. You may bring a blanket/bed for his/her comfort. Please do not bring a cat, as dogs might become excited by a feline presence!
Direct any questions
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service