Daycare Registration

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Personal Information
Your Name(*)
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Your Email(*)
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Email Confirmation(*)
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Address 1
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Address 2
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City
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Province
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Postal Code
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Home Phone(*)
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Cell
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Work Phone
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Pet Information
Dog's Name(*)
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Dog's Age(*)
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Breed
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Neutered / Spayed(*)

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My dog is social and friendly with other dogs.(*)

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(If you have concerns in this area please let us know at info@k9central.ca or call the office 905-623-3940)

My dog is up to date with his/her vaccinations.(*)

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Veterinarian Information
Veterinarian Name
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Email
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Address 1
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Address 2
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City
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Veterinarian Phone
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Verification(*)
Verification
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