October 20, 2018
All Breed Heart Clinic
ALL BREED HEART CLINIC
CUYAHOGA VALLEY GOLDEN RETRIEVER CLUB
Dr. Robert Hamlin, Board Certified Cardiologist
Please select the link below to print the registration form.
WHEN/WHERE: Saturday, October 20, 2018 (9-3pm)
at the Beckie Gang Jordans
5324 Tallmadge Rd. Rootstown, Oh 44272:
Heart evaluations $25.00 pre-registration, $30-day of registration
PRE-REGISTRATION IS STRONGLY ENCOURAGED AND PRIORITY
WILL BE GIVEN TO THOSE PRE-REGISTERED. PLEASE MAKE
SURE TO BRING DOGS AKC/UKC INFORMATION, FOR
TO REGISTER, COMPLETE THE FORM BELOW AND RETURN WITH
CHECK, MADE PAYABLE TO CVGRC,
to Amy Harmon 641 Center Road, New Franklin, Ohio 44319
(email email@example.com or call (330) 807-3860 with questions)
Clinic will be held indoors and there is plenty of parking.
If you have a preferred time please indicate it on your form. Confirmation of
appointment time will be emailed once payment is received.
CVGRC ALL BREED HEART CLINIC REGISTRATION FORM
Owner’s Name: _________________________Telephone#: ________________
Address: (street) _______________________________________
(City) ___________________ (State) ________________ (Zip) ___________
Email address: _____________________________________PLEASE PRINT
Dog’s Name: _______________________ Dog’s Breed: ____________________
Time Preferred: ____________ (You may call ahead to reserve a time. This time will be
held for a few days while your check is in the mail and will be confirmed upon arrival.
Call Amy at (330) 807-3860)