All Breed Eye Clinic

TENTATIVELY
Sunday March 29 2009

Dr Nick Whelan, BVSc, MVSc, MACVSc, Dip ACVCP, Dip ACVO Certified Canine Ophthalmologist


Hosted by The Grand River Kennel Club of Waterloo Wellington Region

To be held at: ALBERT MCCORMICK ARENA
500 Parkside Drive Waterloo
Optimist Room (beside the library)
fee $37.00

Registration will be accepted until the clinic is full
Send Payment with registration to:
GRKC
c/o Cyndy Ermel
146 Bridgeport Rd E
Waterloo, Ontario
N2J2K4


Registration form
Owners name:______________________

Dogs name: _________________________

Address:___________________________

Breed:_____________________________

Birthdate:__________________________

Tattoo or microchip#______________

Registration #_____________________