Online Membership Application / Renewal Form


CONTACT INFORMATION

First Name:

Last Name:

Member Since (year):

Email:

Address:
(for mailing correspondence - i.e. certificates)

City:

Province:

Postal Code:

Home Phone: Make primary:

Cell Phone: Make primary:

Other Phone: Make primary:

Other Interests:

Member of PPGAM Group on Facebook

Member of Other Associations/Groups (i.e.) CKC, MAHTA, St. John Ambulance Therapy Dog, etc.
If so please note which one(s):


BUSINESS INFORMATION

Business Name:

Business Address: (for inclusion on membership list)

City:

Province:

Postal Code:

Phone (Work):

Fax:

Other Phone (when applicable):

Website (if applicable):

Service Type:

Shop   Mobile   Both   Daycare   Boarding   N/A

I Groom: Cats Dogs Other

I Am a (select 1 - 2 most applicable titles):

Bather   Novice/Student   Groomer   Business/Shop Owner

CERTIFICATION LEVELS OBTAINED: (please select all that apply)

Canadian Professional Pet Stylist Certification Levels

CCST1- Canadian Canine Stylist Technician       

CCST1-Int- Canadian Canine Intermediate Stylist

CCS2- Canadian Canine Stylist – Sporting/Non-Sporting/Terrier

CCMS3- Canadian Canine Master Stylist

IPG Certification Levels

CSP - Certified Salon Professional

CPG - Certified Professional Groomer

CAPG - Certified Advanced Professional Groomer

ICMG - International Certified Master Groomer

Does your business specialize in any specific grooming techniques? (ex. Creative, Hand Stripping, etc.):


MEMBERSHIP APPLICATION / RENEWAL

New Membership $160.00 (includes insurance coverage)
Membership Renewal $135.00 (due by September 30th each year)

*NOTE: Memberships not renewed by the due date will default back officially to New Memberships.

I give permission to the PPGAM to provide my business information as stated above to other members of the association and on any official PPGAM marketing material, such as the Member Directory.

In accordance with PPGAM Bylaws - Article II, Section 2, Paragraph 1, I hereby declare that I have never been convicted of animal abuse.

(Your electronic signatures below by submitting this form constitutes a legal agreement.)

Digital Signature*:

Today's Date (dd/mm/yy):

Please Click the Submit Button below to continue to the Paypal Payment page.

Payment is required in full before your application will be processed.


GROOMER'S CERTIFICATION DESIGNATION
A GROOMER MAY RECEIVE A CERTIFICATE FROM THE SCHOOL OR INSTRUCTOR THEY WERE TAUGHT BY BUT THAT DOES NOT CONSTITUTE BEING CERTIFIED.
THESE ARE SOME RECOGNIZED ORGANIZATIONS THAT CERTIFY GROOMERS:
CANADIAN PROFESSIONAL PET STYLISTS
THE INTERNATIONAL PROFESSIONAL GROOMERS, INC
NATIONAL DOG GROOMERS ASSOCIATION OF AMERICA, INC.

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