Name* (first name+surname)

Address

Postal Code

Place

Phone number*

Cell phone number

Email*

Name of the dog

Date of birth [mm-dd-yyyy]

Which breed or mixed?

Gender of the dog
malebitch

Neutered / Spayed?
yesno

Which class would you like to attend?

What time of day do you prefer?
morningeveningboth is possible

Your message:

How did you find us?
via internetvia friends, neighbourvia vetvia ....

Do you agree with our General Conditions?*
Click HERE to read the General Conditions (pdf). English translation will follow shortly.
yesno

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