CERTIFICATE OF HEALTH

I have examined ____________________________________and found
him / her to be in good health and free form any communicable diseases
and parasites. He / She is up date on his / her inoculations and has had a
negative stool check.

(Please indicate dates)

Rabies ______________________________

DHLPP / CPV ______________________________

Corona ______________________________

Bordetella ______________________________

Negative Stool ______________________________

________________________________________________

Veterinarian Signature Date

Bring this form with you on the FIRST night of class

FIRST night Date ____________ Class No. ____________

Class starts promptly as _________________

Glenbard

All Breed Obedience

Club, Inc.