About YouName* First Last Alternate handlerAddress* Street Address Address Line 2 City ZIP / Postal Code Phone Home*Phone WorkCellEmail* 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 Sex*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 pups 8 - 14 WeeksPuppy 2 for pups 15 Week - 5 MonthsJunior Puppy Obedience for pups 5 -7 Months (only for pups who completed Puppy 2Senior Puppy Obedience for pups 7-9 Months (only for puppies who have passed Junior Puppy Obedience)Select the Appropriate Fee*Full (R400 per age group)Senior Citizen (R200 per age group)Discounted fee for 5-7 month and 7-9 month classes (R700)Engraved dog tag required - additional cost of R25.00Order dog tag (@ R30) ? 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 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.