PTCM WNW Pet First Aid

Walks 'N' Wags Pet First Aid

Registration Form for Pawsitive Touch Canine Massage
PLEASE READ THROUGH EACH SECTION CAREFULLY!
REGISTRATION CLOSES AT 5PM THE

WEDNESDAY BEFORE THE SCHEDULED CLASS.
Name*

First NameLast Name
Organization or Employer (if pet related)
HOME Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Personal E-mail*
HOME Phone Number or Cell Number*

Area CodePhone Number
(Classes are scheduled from 9am until 6PM.)
Course Date:*

Sunday, May 14, 2023Sunday, June 18, 2023
NOTE: A list of COVID-19 protocols will be e-mailed to you, once your course attendance has been confirmed. Thank you for your understanding.
Course Fee*

$160.00
Location of class:

Wild Tails (formerly Nanaimo Pet Services)

4512 Wellington Road, Nanaimo
Pet First Aid Kits

...can be pre-ordered, added to the registration fee and brought to class for you. There will also be pet first aid kits on hand at the class if you prefer not to pre-purchase.
Full Size Kit

$57.00 (68 piece)
Full Size Kit Quantity Requested
Compact Size

$40.00 (33 piece)
Compact Size Kit Quantity Requested
Pocket Size

$20.00
Pocket Size Kit Quantity Requested
NOTE: Please do NOT send e-transfer until you have received an e-mail from Pawsitive Touch Canine Massage confirming final amount. Thank you.
The preferred payment method is by e-transfer, e-mailed to: info@pawsitivetouchmassage.ca
Important! Please check your Spam folder, as sometimes my "Info" address goes to Spam.
Once your payment is received, your spot in the class will be confirmed.
Payment must be received NO LATER THAN THE WEDNESDAY PRIOR TO THE COURSE DATE, otherwise your registration will be void and the course could get cancelled.
Do you have a friendly dog that you would like to use for demos? (Must be approved prior to class.)*

YesNo
Please include the following for your dog:
Name
Age
Gender
Breed
Spayed or Neutered
You are responsible for your dog, his/her behaviour and clean-up. If your dog causes damage or injuries to anything or anyone, you will be held responsible for any incidentals to rectify the situation. Pawsitive Touch Canine Massage, its owner, associated venue (Wild Tails [formerly Nanaimo Pet Services] or other) or Walks 'N' Wags Pet First Aid assume no liability should damage and/or injury be caused by your dog.

Appropriate vaccines are required.
CANCELLATION POLICY

Minimum 10 days prior to class: Full refund

4-9 days prior to class: $25 admin fee

72 hours before class: No refund, but possible transfer
Type your Full Name along with the word, Agree, below.

This will be considered your ELECTRONIC SIGNATURE for AGREEMENT OF TERMS FOR CANCELLATION and, if applicable, AGREEMENT OF TERMS FOR BRINGING YOUR DOG TO CLASS.
Name / "Agree"*
Please tell me where you heard of my class (PTCM = Pawsitive Touch Canine Massage)*

Walks N Wags websitePTCM websitePTCM Facebook pagePTCM/WNW posterWild TailsOther (please describe below)
If you have any questions, please contact Valerie at:

info@pawsitivetouchmassage.ca or at 250.802.9957

Thank you!
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

Walks 'N' Wags Pet First Aid