About YouName* First Last Address* Street Address Address Line 2 City ZIP / Postal Code Landline*Cell*Email* Is This Your First Puppy?*YesNoWhere Did you Hear About the Club?*Your VetBreederWebClub MemberOtherYour Vets NameOther (Please Specify)What Made You Choose Our Club?*About Your PuppyDogs Name*Breed*Date of Birth* DD MM YYYY Gender*MaleFemaleHow Old Was Your Puppy When You Got Him/Her?*Do You Have Any Problems With Your Puppy?*YesNoPlease Describe Any Problems You Are HavingDo You Have Other Dogs?*YesNoYour Other DogsPlease list your other dogs separated by commas Select a Class*Puppy 1 for new pups under 4 monthsPuppy 2 for pups who have completed Puppy 1Junior Puppy Obedience for pups who have completed Puppy 2Senior Puppy Obedience for pups who have completed JuniorsSelect the Appropriate Fee*Full (R400 per course)Senior Citizen (R200 per course)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 immunized. 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.