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    NACSW NW3
    Owner's Name:

    Ruth Schreiber

    Address:

    11801 N Solar Ave, Mequon, Wi 53097

    Phone:

    262-573-2547

    Email:

    [email protected]

    Dog's Name:

    Trygg

    Dog's Date of birth:

    10/10/2020

    Dog's Gender:

    Male

    Breed:

    Danish Swedish Farmdog

    I have read the prerequisites and agree that my dog has met these requirements.:

    1

    I accept the terms and conditions of the Agreement and Waiver.:

    Yes

    To ensure social distancing, ONLY TWO handlers will be permitted per dog in classes and workshops.:

    Yes

    1 × $175.00

Subtotal: $175.00

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