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Class Enrolment Form
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PLEASE DO NOT COMPLETE THIS FORM UNLESS YOU'VE BEEN ASKED TO DO SO. YOU WILL NEED TO CONTACT ME TO BOOK IN TO MAKE SURE THAT A PLACE IS AVAILABLE.
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ALL CLASSES ARE CURRENTLY BEING HELD AT SOMERSBY SCHOOL
Class:
Tuesday 7.30pm Canine Basics
Wednesday 6.00pm Kindy Puppy
Wednesday 7.15pm Kindy Puppy
Thursday 5.45pm Primary Puppy
Thursday 7.00pm Kindy Puppy
Saturday 10.45am Canine Basics
Saturday 12.15pm Primary Puppy
Start Date:
:
Your Details
Name:
First Name:
Last Name:
Address (street/number):
Address (suburb):
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
:
Due to Covid 19, I need to keep a record of who attends class each week. If applicable, please provide details of up to 2 extra people (including children) who may attend class
Name:
First Name:
Last Name:
Phone (mobile) or child's age if under 16:
Name:
First Name:
Last Name:
Phone (mobile) or child's age if under 16:
:
Your Dog's Details
Name of Dog:
Breed:
DOB / age now:
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
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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:
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A $50 deposit is required at the time of booking to confirm your place. If you have been asked to pay this, account details are below. Please use your surname and class start date as the reference when paying. Otherwise this information will be provided to you in your confirmation email. The balance is due a few days before your class starts, this will also be included in your confirmation email
Date paid:
Amount paid:
:
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
