East Coast Dog Training registration form
Please fill out the form below and submit it to us if you wish to attend one of our classes. By filling out this form you are giving me permission to contact you using the details you have given on this form. I will email you to confirm receipt of the form,  any follow up questions I may have and payment details. I respectfully ask that a non refundable deposit is paid to secure your space on the course. I may also contact you via the phone number you have provided. Please ensure all details are correct and up to date.
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Name *
Email *
Address *
Phone number *
Mobile number *
Emergency contact details. This is in case anything happens to you and we need to contact someone. Please include their name, contact/phone number and their connection to you. (partner, relative, friend etc) *
Dog's name *
Breed of dog *
Age of dog *
Sex of dog *
Vaccinations up to date *
Required
Is your dog neutered/spayed *
Required
Do you or your dog have any medical conditions *
What do you feed your dog *
How does your dog react to guests & strangers *
Required
How does your dog behave around other dogs *
Required
Who does your dog live with (adults, children, other animals etc. Please include ages of children) *
What are the behaviours you like BEST about your dog? Please list 5 things *
What are the behaviours you like LEAST about your dog? Please list 5 things *
What would you like to gain from attending the classes? Are there any specific issues you would like help with? *
Which venue would like to attend? *
Required
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