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Canine Good Citizen Class Pre-Registration Form

Your Information
Dog's Owner:

Owner's Phone Number:
Owner's Email Address:
Re-type Owner's Email Address:
Address:
City:
State: Zip code:
Your Dog's Information
Dog's Name:
Dog's birthdate:
Dog's Breed or Breed mix:
Select one:
Intact Male Neutered Male
Intact Female Spayed Female
Additional Information
Do you have any additional information or questions?


 

 

 

 

Contact Information
Location
102 W Delavan Drive
Janesville, WI 53546
[Map]

Contact Information
(608)752-4485 (8a-9p)
jbkennelclub@gmail.com

For all questions regarding our current classes, please see our Classes page.