Puppy Class Application | Cape Province Dog Club

About You

Name*

First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code

Landline*

Cell*

Email*

Is This Your First Puppy?*

Yes
No

Where Did you Hear About the Club?*

Your Vets Name

Other (Please Specify)

What Made You Choose Our Club?*

About Your Puppy

Dogs Name*

Breed*

Date of Birth*

DD

MM

YYYY

Gender*

Male
Female

How Old Was Your Puppy When You Got Him/Her?*

Do You Have Any Problems With Your Puppy?*

Yes
No

Please Describe Any Problems You Are Having

Do You Have Other Dogs?*

Yes
No

Your Other Dogs

Please list your other dogs separated by commas

Select a Class*

Puppy 1 for new pups under 4 months
Puppy 2 for pups who have completed Puppy 1
Junior Puppy Obedience for pups who have completed Puppy 2
Senior Puppy Obedience for pups who have completed Juniors

Select 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.