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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 7.00pm Canine Basics
Wednesday 6.30pm Kindy Puppy
Thursday 5.45pm Primary Puppy
Thursday 7.00pm Kindy Puppy
Saturday 8.30am Canine Basics
Saturday 10.00am Primary Puppy
Thursday 4.00pm Canine Basics (SOMERSBY HALL)
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
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Second person's contact details - if a different person may attend instead of, or as well as you
Name:
First Name:
Last Name:
Phone (mobile):
:
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?:
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Payment details:
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A $50 deposit is usually required at the time of booking to confirm your place in class. If you have been asked to pay this at the time of enrolling, account details are below, and you can include the date you made payment in the field below. Otherwise this information will be provided to you in your confirmation email. You are welcome to pay the full amount now if that's easier than doing 2 payments, otherwise the balance is usually due a few days before your class starts, this will be included in your 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
