Level 1&2 Combo Application - La Paw Spa

Application for The Heart of Canine Water Therapy
Customized Combination Level 1 and 2
Offered by La Paw Spa

Please fill out and submit this form after paying your class deposit.

Student Application

Date:

Your Name:

Address:

City

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

Your Current Occupation:

Your Interests

Your interest in this work:

Your interest/love of being in the water:

Do you like to give massage?

Yes

Do you like receiving massage?

Yes

Your other outside interests and hobbies:

Your Inspiration

Your inspiration for becoming interested in this path of service:

Your Experience

Your experience with dogs:

Your experience with people:

Do you like people?

The relevant classes you have taken:

About You

Your physical health and condition - how much weight can you lift:

Any other comments or relevant information that you care to provide:

Your Dreams and Aspirations:

If you absolutely could not fail and you could have anything you wanted in life, how would you use your interest in canine water therapy? What would this business look like? Services offered? Dare to dream and write it here:

Select Your Class options for the Heart of Canine Water Therapy - Combination Level 1 and 2

Check your selection below:

The Heart of Canine Water Therapy - Customized Level 1 and 2. (Private - specify date below.)

The Heart of Canine Water Therapy - Customized Level 1 and 2. (Semi-Private - specify date below.)

Date

Combination Level 1 and 2 will be held in Sequim, Washington.

Meals & Lodging *

I will be responsible for all of my lodging, meals, and transportation during class.

Yes! Sign me up! *

I, the undersigned, am engaging Cindy Horsfall and La Paw Spa, LLC, for the purposes of providing me with instruction in Cindy’s experience of Canine Water Therapy. I understand that this class does not give me legal license to practice or satisfy any legal requirements of any kind. I further agree to release and hold harmless from any and all liabilities and will take these classes at my own risk. I understand that this is a release of all current and prospective claims and that I am of legal age to sign. I understand that upon receipt, Cindy will confirm availability and let me know. Should I need to cancel, I understand that all monies paid for class are non-refundable unless Cindy can fill my spot, unless otherwise noted.

Signature *

Contact Cindy

By Phone/Text:
(425) 222-9663
By Email:
cindy@lapawspa.com
By Form: Click Here!

Search Our Site

Area We Serve

Serving the Pacific Northwest
in Washington State

including Sequim, Port Angeles,
Port Townsend and beyond!