Canine Certification Class Registration Armstrong Canine Certification Class $1695 Enrollment Application PERSONAL INFORMATIONName as you want it to appear on Certificate*Date Address Street*City*State*Zip Code*Phone*Email* Referred ByAre 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 the full amount to cover the Armstrong Canine Certification Program with PayPal. I understand this is non-refundable.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 I'm registering for the following classes:* 4-Day Canine Massage Foundation Class $1695 and paying in full 4-Day Canine Massage Foundation Class $1695 and paying $400 Now & Remaining $1295 at class Dog owner class as an additional option for $200 paying in full Dog owner class as an additional option for $200 and paying $100 deposit Total Payable Fees Price: $0.00 Note: PayPal automatically adds 3% fee for all transactions.
