Sandy Meadow Farm

PET FIRST AID/CPR WORKSHOP

SUNDAY, APRIL 17, 2016, 9:00 am

SANDY MEADOW FARM OBEDIENCE

342 UNION STREET

WESTFIELD, MA 01085

(413) 572 - 4936

fax: (413) 572 - 0354 *9
 

Participant Name: ____________________________________

Participant Address: ___________________________________

                               ____________________________________

 Best Contact Phone:  __________________________________

Email Address: ____________________________________________________________


Course Choice:     ______        $80.00  Pet First Aid and CPR  ( 5 - 6 hours, 9 - 3pm)           
                                    
                            _______     $110.00  PetSaver ( 3 courses)  ( 8 hours, 9 - 6 pm) 

                        
                             _______  CEU's Requested? Organization:  ___________________

                                            Certification/Membership Number:  __________________

Payment in cash or check at workshop. Confirmation of receipt of registration form will be sent via email.