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Class Enrolment Form
:
PLEASE ONLY COMPLETE THIS FORM IF YOU'VE CONFIRMED WITH ME THAT A PLACE IS AVAILABLE IN YOUR CHOSEN CLASS
Class:
Kindy Puppy Wednesday 6.30pm Somersby Vet
Kindy Puppy Thursday 7.15pm West Gosford
Primary Puppy Thursday 8.30pm West Gosford
Primary Puppy Saturday 10.00am Somersby
Canine Basics Tuesday 7.30pm Somersby
Canine Basics Saturday 8.30am Somersby
Start Date:
:
Your Details
Name:
First Name:
Last Name:
Address (street/number):
Address (suburb):
Phone (work/home):
Phone (mobile):
Email:
OK to contact via SMS:
Yes
No
What is the best way to contact you:
Text
Email
Home Phone
Mobile
Facebook Messenger
:
Your Dog's Details
Name of Dog:
Breed:
DOB / age:
Sex:
Male
Female
Age when obtained:
De-sexed:
Yes
No
Where did you get your dog? (eg breeder, rescue):
Where is your regular vet?:
:
Additional information
Are there any medical conditions or allergies that may affect you or your dog's training in class?:
How many people live with your dog? (specify adults and children):
Ages of children living with your dog:
Details of any other pets in the home:
:
Your dog’s daily routine
:
Please answer any of the following questions that apply to your dog.
On-lead walks – how often/how long?:
Off lead exercise away from home – how often/where?:
Off lead play with dogs, other than those they live with – how often?:
How does your dog respond when meeting a new dog?:
How does your dog respond when meeting a new person?:
If your dog has ever bitten a dog or person or behaved aggressively, please provide details. (Puppy play biting can be excluded here):
Brief details of any behaviour issues you have with your dog, not including things covered in class such as lead walking, jumping up, coming when called etc:
Where did you find out about Woofs & Wags?:
:
Payment details:
:
A deposit is usually required at the time of booking to confirm your place in class. If this information has already been provided to you, and payment has/will be made, please indicate details below. Otherwise leave the following questions blank, and details will be provided to you.
Pre-payment by:
cheque
direct deposit
Date payment made/sent:
Balance of payment to be made by:
Direct Deposit
Cash
Cheque
:
Direct deposit - BSB: 650-000, Account: 987124406 Name: Woofs & Wags. Please include your SURNAME and CLASS START DATE as reference
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Gentle, Fun and Effective Training for all the Family
