R+

To register for R+ classes please fill out and submit this on-line registration form, at least 5 days prior to the start of class, then either drop off your check and form at Norwell Veterinary Hospital or mail in your check made out to Lisa Hirtle to:

First and Last Name: 

Street Address: 

Town: 

State: 

Zip Code: 

Home Phone Number: 

Cell Phone Number: 

E-Mail Address: 

Dog Name: 

Breed: 

Date of Birth or Age: 

Class Name:  Puppy Kindergarten Beyond Puppy Kindergarten Adult Manners 1 Canine Good Citizen Prep Class Puppy Play Group (dogs 5-10months old) Adult Play Group (dogs over 10months old)

Start Date of Class: 

Start Time of Class: 

If signing up for play groups, # of weeks you are registering for:

Agree to Waiver?:  Yes No

How did you hear about R+?: 

Please tells us about your puppy or

any problems you may be having with your dog

& list any previous classes you have taken: