Who's walking who registration form

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Please fill out the form below and submit it to us if you wish to attend these 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.

Name *

Email *

Address *

Phone number *

Mobile number *

Dog's name *

Breed of dog *

Age of dog *

Sex of dog *

Male

Female

Required

Vaccinations up to date *

Yes

Required

Is your dog neutered/spayed *

Yes

Required

Do you or your dog have any medical conditions *

What do you feed your dog *

How does your dog react to guests & strangers *

Jumps up

Nervous, hides

Happy to see them, wags tail

Barks and hides away

Barks but eventually goes up to them

Barks and snaps at them

Other:

Required

How does your dog behave around other dogs *

Barks and hides away

Excited, jumps up, runs over

Nervous

Ignores them

Lunges whilst snapping at them

Barks and wants to go up to them

Other:

Required

What methods have you tried to stop your dog pulling? Please list any equipment you have tried as well as a description of the method. *

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