About YouName* First Last Address* Street Address Address Line 2 City ZIP / Postal Code Landline*CellEmail* Is This Your First Dog?* Yes No Have You Trained a Dog Before?* Yes No Where Did You Hear About the Club?* Your Vet Breeder Web Club Member Other Your Vets Name Other (Please Specify) What Made You Choose Our Club?* About Your DogDog's Name* Breed* Date of Birth* Day Month Year Sex* Male Female Spayed/Neutered* Yes No Has Your Dog Been to Training Before?* Yes No Do You Have Any Problems With Your Dog?* Yes No Please Describe Any Problems You Are HavingDo You Have Any Other Dogs?* Yes No Other Dogs Please list your other dogs here. Separate with commas.Course* Adult Beginner's Obedience Behavior Management Select a Fee* Full (R600) Pensioner (R300) Terms & Conditions I understand that all training is at my own risk and that the Cape Province Dog Club and Pinelands Primary School are in no way liable for any injuries sustained by either my dog or myself in the course of training. I guarantee that my dog is properly immunised. I further understand that I may be held responsible for any damage caused by my dog or myself. I agree to conduct myself in a responsible manner and to follow instructions given by trainers.Accept Terms & Conditions* Accept By selecting or checking this box, you have read and agree to the terms and conditions stated above.
