ALL BREED HEART CLINIC   SPONSORED BY

  CUYAHOGA VALLEY GOLDEN RETRIEVER CLUB 

Dr. Robert Hamlin, Board Certified Cardiologist (Ohio State University)

WHEN/WHERE:   To be held on Saturday, July 13, 2019 (8am – 3pm) at the Madison (Bill Stanton Park) Show Grounds    COST:  $30.00 pre registration, $35.00 day o

UPDATE:  WE WILL ALSO BE OFFERING “ECHOS”.  COST IS $165.00  ​Please indicate on form if you are signing up for the Echo​

PRE REGISTRATION IS STRONGLY ENCOURAGED AND PRIORITY WILL BE GIVEN TO THOSE THAT ARE PRE-REGISTERED.

TO REGISTER, COMPLETE THE FORM BELOW AND RETURN WITH CHECK, MADE OUT TO CVGRC, to Vicki White, 5170 Unger Rd.  Atwater, Ohio 44201  (cell -330-819-5568, home 330-947-2425 or email gideongr@aol.com)

      Appointment times will be confirmed by email prior to date of clinic based on ring times and preference stated on registration form.   PLEASE print email address clearly on registration form.

CVGRC ALL BREED  HEART CLINIC REGISTRATION FORM    

July 13, 2019 (8am-3pm)

 Owner’s Name: _________________________Telephone #:_____________

 

Address: (street)________________________________

   ​   (city)___________________   (state)________(zip)___________  

       E-mail Address:   ______________________________________

Dog’s Name:​  

Dog’s Breed: ​  

Time preferred:  ________________________ Echo  …..Yes     ……No

          NO REFUNDS ——————PLEASE PRINT CLEARLY