Canine Certification Class Registration Armstrong Canine Certification Class $695 Enrollment Application PERSONAL INFORMATIONName as you want it to appear on Certificate* Date MM slash DD slash YYYY Address Street* City* State* Zip Code* Phone*Email* Referred By Are you 18 years of age or older? Yes No GENERALPlease limit responses to two lines. If you would like to provide more information, please do so on a separate document.Subjects of special study or interestCanine related activitiesWhy is a career as a Canine Massage Therapist interest you?PAYMENT INFORMATIONPlease accept my enrollment in the Armstrong Canine Certification Program.On the next page, I am paying $695.00 to cover the Canine Certification Class with PayPal.The class I want to register for start date is:* MM DD YYYY What's your second choice in case first choice class is full? Month Day Year Note: PayPal automatically adds 3% fee for all transactions.Armstrong Canine Certification Class 99225
