Jersey Skylands Labrador Retriever Club, Inc.

ALL BREED CANINE HEALTH CLINIC

Sunday, February 3, 2008 From: 9:00 AM to 2:00 PM

LOCATION: Blairstown Animal Hospital, 29 Cedar Lake Rd., Blairstown, NJ 07825
Located near the intersection of Rt. 80 and Rt. 94. See complete directions on page 2.

EYE EXAMS: Michael J. Ringle DVM, Diplomate ACVO Ophthalmologist from RBVH. Dogs must be over 7 weeks of age.
CERF form included. Please bring AKC reg. & perm. ID Information. All results strictly CONFIDENTIAL.

HEART EXAMS: Josh Gidlewski DVM, Diplomate DACIM Cardiologist. OFA forms will be provided. Please bring AKC reg. & perm. ID Information. All results strictly CONFIDENTIAL.

OPTIGEN: Special 20/20 Clinic Fee – 20% off regular price – See Optigen Website . Pre-registration and payment made payable directly to Optigen is absolutely required, as a minimum of twenty (20) tests must be batched for 20% savings! Blood samples for Optigen tests will be drawn at the clinic for a fee. Optigen blood draw fee will be waived if other blood tests are being performed. Test Request Forms should be completed online at Optigen using code JSLR823 for an additional 5% discount, making the total discount 25%. Forms may also be completed on site. Optigen will report results directly to each owner.

MICROCHIP: Home Again Microchip provides permanent identification. AKC CAR or Home Again forms will be provided.

BLOOD TESTS & See Registration form for list of services. Blood test results will be sent directly to the owner. All results are strictly CONFIDENTIAL. Any test not listed please call for price/availability.

VACCINATIONS: Vaccination certificates will be provided. See Registration form for list of offerings.

PRE-REGISTER: Pre-Registration by 01/26/08. Fill out form and mail with appropriate fees as indicated. Appointments will be scheduled on a first come-first served basis. Every effort will be made to schedule your appointments in the time frame requested. WALK-INS WILL BE SEEN IF TIME ALLOWS.

FMI: Contact Donna Forte (973) 729-6211 or email to Brookberry@embarqmail.com. Please leave message to be contacted.

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PLEASE RETURN THE COMPLETED FORM BY 01/26/08 ALONG WITH A SELF-ADDRESSED STAMPED POSTCARD OR INCLUDE YOUR EMAIL ADDRESS FOR CONFIRMATION & TIME . A NON-REFUNDABLE CHECK PAYABLE TO JSLRC, INC. MUST also be included…… MAIL TO: Donna Forte, 2 Sharon Drive, Sparta, NJ 07871

Name: Phone: _________________ _

Address: _______________

City: State: Zip: email: ______________

TIME SLOT PREFERRED, PLEASE NUMBER 1-5 IN ORDER OF PREFERENCE:

____9:00-10:00 ____10:00-11:00 ____ 11:00-Noon ____Noon-1:00 ____1:00-2:00

SERVICES	UNIT COST X # OF DOGS	= EXTENDED AMOUNT
ACVO EYE EXAM	$25.00 X	= $
AUSCULTATION	$40.00 X	= $
ECHOCARDIOGRAM	$210.00 X	= $
OPTIGEN TESTS (blood draw fee)	$10.00 X	= $
MICROCHIP	$25.00 X	= $
HEARTWORM / LYME / EHRLICHIA	$25.00 X	= $
TGAA (thryroglobulin autoantibody)	$50.00 X	= $
THYROID profile ( Free T-4 / T-4)	$60.00 X	= $
CBC, DIFFERENTIAL, SUPERCHEM	$65.00 X	= $
CANINE Distemper/Parvo VACCINE TITER	$60.00 X	= $
BRUCELLA	$40.00 X	= $
Thyroid OFA Registry Panel (include a separate check to OFA for $15.00 per test)	$95.00 X $15.00 X	= $ = $
RABIES	$15.00 X	= $
DISTEMPER – DA2PP	$15.00 X	= $
LYME	$20.00 X	= $
BORDETELLA (nasal)	$10.00 X	= $
LEPTO	$20.00 X	= $
	TOTAL:	= $

I HEREBY RELEASE PARTICIPATING VETERINARIANS, JSLRC, INC., ITS MEMBERS AND AGENTS FROM ANY AND ALL INJURIES OR LOSSES SUSTAINED BY MYSELF OR MY DOG(S) WHILE AT THIS HEALTH EVENT.

Please sign:

DIRECTIONS:

Directions and map
29 Cedar Lake Road
Blairstown, NJ 07825
908-362-6430

From points east: Route 80 west, exit 12, right at bottom of ramp to Route 521 North to end (several miles). Left on Route 94 ("The Forge" restaurant on corner), next left onto Cedar Lake Road - CR 616, approximately 1 mile on left.

From points west: Route 80 east, exit 4C to Route 94, go 9 miles, through Blairstown, straight over bridge, right onto Cedar Lake Road - CR 616, approximately 1 mile on left.