Reactive Dog Class Booking Form

To register for a place, please complete this form in full and return it to:

Course selected (date of first class):
Your Details
Name:
Names of any other people attending:
- Please give ages of children
Telephone Number:
Email:
Address:
Is there anything about you, or the other attendees that I may need to be aware of?
(e.g. food allergies, mobility requirements, hard of hearing, medical conditions)
How did you hear about these classes?
Your Dog’s Details
Name:
Breed:
Sex & neuter status:
Date of birth:
Date of last vaccination:
Name of Veterinary Surgery:
How long have you had your dog?
Where did you get your dog from?
Any dietary or health issues?
Describe your dog’s personality:
Describe your dog’s behaviour towards other dogs:
When did you first notice the problem?
What methods have you already tried to resolve the problem?
Is your vet aware of the problem?
When was your dog’s most recent vet check?
Describe your dog’s behaviour towards people:
Describe your dog’s behaviour in new situations:
What do you hope to achieve by attending classes with your dog?

Terms and Conditions of Booking & Attending

Booking:

·  Places are booked on a first come, first served basis

- Your place on the course will not be guaranteed until you have submitted the booking form, paid in full and received a confirmation

·  If you are wanting to book a place for more than one dog, please contact me

Attendance:

·  Places booked will only be valid for the course dates that you have requested

·  If it appears that the class environment is not suitable for your dog, other arrangements can be made

·  If you have a bitch in season you will not be able to attend the class that week, but other arrangements can be made

·  Ideally, young children should not attend these classes, but if you are unable to arrange alternative care for them please contact me and we can discuss other arrangements

·  While every effort is made to create a safe environment for classes, parking, personal property, your dog, children and your own safety are your own responsibility

·  Photographs and videos may be taken in class for use on the website, Facebook page, and future promotional and educational purposes. If you do not want yourself or your dog to be in any photographs or videos, then please let me know

·  Choke chains, check chains, prong collars, slip leads, flexi leads, head collars, electronic training collars (including citronella spraying ones), or any equipment which causes discomfort, pain, or fear to the dog are NOT PERMITTED IN CLASSES. Neither is the use of physical force

Cancellations:

·  Full refunds will only be given if notification of cancellation is received in writing at least 2 weeks prior to the start date of the course, and you have received a notification of receipt from me

·  If cancelled after this time, a full refund will only be given if the place can be filled

·  There will be no refunds for missed classes, or if you do not complete the course

I have read, understand and agree to the above terms and conditions.

Signed:

Date:

I would/ would not like to be contacted about future events which may be of interest to me via a mailing list.