Click for Lansdale, Pennsylvania Forecast
Official SPARK Travel Agent
Solution Graphics
copyright © 2005 Southeastern PA Rottweiler Klub (SPARK)  • All rights reserved • ANY reproduction of any text, graphics, photos or  backgrounds on this site is strictly prohibited. Southeastern PA
Rottweiler Klub and the SPARK name are registered with the USRC and may not be used by any other entity in any form without the express permission of the club & club webmaster.
Mail In Registration & Payment Option
Click for mail in REGISTRATION FORM
Make all checks payable to: SPARK ROTTWEILER KLUB, INC.

Send all mail in registration forms and payments to:
Samantha Canuso, 2675 Shady Lane, Lansdale, PA 19446
Official SPARK Training
Equipment Supplier
2011 SPARK 4TH Annual
ALL BREED
CERF/CARDIAC Health Clinic
ONLINE REGISTRATION FORM

ONE FORM PER DOG PLEASE
*items are required information
CO-OWNER:*
NAME:*
E-MAIL:*
 :
PHONE:*
ADDRESS:*
DOG'S REGISTERED NAME:*
DATE OF BIRTH:*
SEX* (choose one):
MALE
FEMALE
BREED OF DOG:*
AKC REG NR:*
MICROCHIP #:
DAM REG #:*
SIRE REG #:*
PREVIOUS OFA OR CERF APPLICATION NUMBER, IF ANY:
PREVIOUS CARDIAC  #:
PREVIOUS CERF #:
CLINICS YOU ARE SIGNING THIS DOG UP FOR (click all applicable):
CERF
CARDIAC - ausculation
MICROCHIP
CARDIAC - echocardiogram
****Click only ONCE to submit information****