About YouName* First Last Address* Street Address Address Line 2 City ZIP / Postal Code Phone Home*Phone WorkCellEmail* Is This Your First Dog?*YesNoHave You Trained a Dog Before?*YesNoWhere Did You Hear About the Club?*Your VetBreederWebClub MemberOtherYour Vets NameOther (Please Specify)What Made You Choose Our Club?*About Your DogDog's Name*Breed*Date of Birth* DD MM YYYY Sex*MaleFemaleSpayed/Neutered*YesNoHas Your Dog Been to Training Before?*YesNoDo You Have Any Problems With Your Dog?*YesNoPlease Describe Any Problems You Are Having Do You Have Any Other Dogs?*YesNoOther DogsPlease list your other dogs here. Separate with commas.Course*Beginner'sBehavior ManagementSelect a Fee*Full (R500)Pensioner (R250)Engraved dog tag required - additional cost of R25.00Order dog tag (@R25)? Yes Select a sizeSmallMediumLargeDogs name*Phone number*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.