67d50a50adb16 About YouName* First Last Address* Street Address Address Line 2 City ZIP / Postal Code LandlineCell*Email* Is This Your First Puppy?* Yes No Where Did you Hear About the Club?* Vet Breeder Web Club Member Other Your Vets Name*What date would you like to start the course?*What Made You Choose Our Club?*About Your PuppyDogs Name*Breed*Proof of vaccination (Mandatory) Drop files here or Select files Accepted file types: jpg, png, pdf, webp, Max. file size: 128 MB, Max. files: 5. Date of Birth* Day Month Year Gender* Male Female How Old Was Your Puppy When You Got Him/Her?*Do You Have Any Problems With Your Puppy?* Yes No Tell us about your puppyDo You Have Other Dogs?* Yes No Your Other DogsPlease list your other dogs separated by commas Select a Course* Puppy 1 for new pups under 4 months Puppy 2 for pups who have completed Puppy 1 Puppy 3 for pups who have completed Puppy 2 Tween Obedience for puppies who missed Puppy 1 Select the Appropriate Fee* Full (R600 Puppy 1, R500 Puppy 2, R700 Puppy 3) Senior Citizen (R300 Puppy 1, R250 Puppy 2, R350 Puppy 3) Special offer Price for Puppy 1 AND 2, R950 Tween Obedience R800 Charity | Parcels for Pets I will add a cash donation to my course fee 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 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.Accept Terms & Conditions* Accept By selecting or checking this box, you have read and agree to the terms and conditions stated above.
