Walks 'N' Wags Pet First Aid Course Registration Date: Saturday October 18, 2014 9:00 am - 7:00 pm *Participants must attend the full 10 hours to receive a certificate. Instructor: Jennifer Blackman Location: Wag Canine Recreation Centre 10-C Lawrence Street, Amherst NS B4H 3G5 902-660-9244 wagcanine@gmail.com www.wagcanine.ca www.walksnwags.com What to bring: 1. Wear comfortable clothing that you can layer on and off. 2. Bring writing paper and pen/pencil (you will receive a first aid manual). 3. Snacks and beverages will be provided. There will be a 30 minute break for lunch. There are a number of choices available in the area or you can pack a lunch. 4. Dogs are welcome ONLY if registered before the course date and there is a 4 dog per class maximum. Dogs must be relatively calm, quiet, sociable with dogs/people, and be willing to be handled by multiple people for demonstrations. We reserve the right to send any dog home if he/she is felt to be disruptive or unsuitable for the dynamics of the class. While we cover cat first aid as well, we regret cats are unable to attend class since the dogs become too excited. Cancellations: We will refund full payment if a cancellation is made up to one week prior to the course start date. Any cancellations after this point are subject to a $25 administration fee. Cancellations made within 72 hours of the course start date will not be refunded or transferred. Name of registrant(s): Street Address: City: Province: Postal Code: Email: Home Phone: Work/Cell Phone: Do you want to bring your dog? What is his/her name and what breed/age is he/she? ______________________________________________________________________________ There is no additional charge to bring your dog however the instructor will contact you before the course date to confirm the suitability of your dog. Please note that Walks 'N' Wags Pet First Aid and Wag Canine Recreation Centre assume no liability should damage and/or injury be caused or occur by your dog. Owners will be responsible for their dogs at all times. Signature of agreement to above course terms: __________________________________________________________ Page 1 of 3 Walks 'N' Wags Pet First Aid Course Registration Please fill out and submit this page and the previous page to Wag Canine Recreation Centre in person, by email or regular mail (instructor contact information is on the first page). Space is reserved once payment is received and is on a first come first served basis. Please see the following pages for the Pet First Aid Kit details. You will receive confirmation of your registration via email. Please Choose Your Registration Options Single participant registration Single registration with full Pet First Aid Kit Single registration with "Canine Friendly" Pet First Aid Kit Single registration with "Canine Friendly" Pocket Pet First Aid Kit Two participant registration (SAVE $20!) Full Pet First Aid Kit "Canine Friendly" Pet First Aid Kit "Canine Friendly" Pocket Pet First Aid Kit Total Charges Quantity Price $149 + HST = $171.35 $204 + HST = $234.60 $184 + HST = $211.60 $161 + HST = $185.15 $278 + HST = $319.70 $55 + HST = $63.25 $35 + HST = $40.25 $12 + HST = $13.80 Cost Payment by Cheque Please mail page 1 and 2 with your cheque made out to Wag Canine Recreation Centre to: 10-C Lawrence Street Amherst, NS B4H 3G5 Payment by Credit Card We accept Visa or MasterCard. Please submit the following by email or call 902-660-9244 to complete by phone. Name on Card: Credit Card Number: Expiration: Last 3 digits on signature line: Total $ value to be charged: Card Holder Signature: Payment by E-transfer Funds can be transferred via online banking e-transfer to wagcanine@gmail.com. Amount to be transferred: Security question answer: Page 2 of 3 Pet First Aid Kits Full Pet First Aid Kit ($55.00 + HST) Weighing in at less then 2 lbs; this 75 piece pet first aid kit is highly water resistant and perfect for carrying with you while outdoors with your pet. Also great for home or pet business use. Contents include: 2 - pair exam gloves 2 - Quality Conforming Gauze 5cmx4.1m/2inx4.5yd 1 - Quality Conforming Gauze 7.5cmx4.1m/3inx4.5yd 20 - 3" x 3" Sterile woven Gauze Pads; 1 - Quality Elastic Tensor Bandage 5cmx4.5m/2inx5yd 1 - Quality Elastic Tensor Bandage 7.5cmx4.5m/3inx5yd 1 - EMS utility Scissors 18 cm/7 in 1 - Adhesive Tape 2.5cmx4.5m/1inx5yd 1 - ABD Sterile Pad 20x25cm/8x10in2 2 - Triangular Bandages with sewn edges; pins 15 - Benzalkonium Chloride Antiseptic Towelettes; individually packaged 1 - Disposable Cold Pack 1 - Emergency Foil Blanket 137.2x213.4 cm/52x84 in 25 - Assorted Fabric Adhesive Bandages - for the humans! 1 - Water Resistant Carry Bag Compact "Canine Friendly" Pet First Aid Kit ($35.00 + HST) This smaller 33 piece kit was co-designed by Walks 'N' Wags and manufactured by RC Pet Products. This kit has a belt loop so it can be worn easily while out on walks. Kit organizes supplies and instructions into clear vinyl pockets for easy access. Durable bright orange fabric is highly visible. Reflective piping on kits makes it easy to find in low light situations. Zipper extenders allow you to open the kit while wearing gloves. Walks ‘N’ Wags Pet First Aid Manual offers easy to follow instructions. Contents include: 3 - Gauze Rolls 4 - Square Gauze Pads 4 - Rectangle Gauze Pads 1 - Elastic Bandage 2 - Patch Adhesive 1 - Triangle Bandage 1 - Exam Gloves 1 - First Aid tape 1 - Tweezers 1 - Scissors 1 - Cold Pack 1 - Saline Solution 8 - Antiseptic Wipes 2 - Wooden Tongue Depressor 1 - Emergency Blanket 1 - Walks ‘N’ Wags First Aid pocket Manual Page 3 of 3 Pocket "Canine Friendly" Pet First Aid Kit ($12.00 + HST) Perfect for your daily dog walks, this kit was co-designed by Walks 'N' Wags and manufactured by RC Pet Products. This kit weighs about 1/4 lb and doesn't disappoint. Durable bright orange fabric is highly visible. Walks ‘N’ Wags Pet First Aid Manual offers easy to follow instructions, Contents include: 1 - Gauze Rolls, 3 - Gauze Pads, 1 - Elastic Bandage, 2 - Adhesive bandage, 1 - Latex-free Exam Gloves, 1 - First Aid tape, 4 - Antiseptic Wipes, 2 - Wooden Tongue Depressor, 1 - Walks ‘N’ Wags First Aid pamphlet Page 4 of 3
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