In-House Training Request

Clients Name*

First NameLast Name

Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Format: (00000000000.

What Dates Would You Like to Request? (all dates are subject to availability - you will receive a confirmation)*

Please select times during these hours (nb: these are subject to a member of staff being available - we will contact you with an alternative if your requested time is not possible)

April to October - 9am to 5pm Sat/Sun/Wed/Thurs; 12pm to 7pm Mon/Fri

November to March - 9am to 5pm every day

A slot of 15mins either side of your requested time will be allocated to ensure a trainer is available for handover - please be punctual or contact us to advise of any delays.

Drop Off Time*

Hour Minutes

AM/PM Option

Pick Up Time*

Hour Minutes

AM/PM Option

Dog's Name?*

Dog's Breed?*

Dog's Sex?*

Please note if neutered or spayed

Dog's Age*

Has your dog done any of the following*

Rows	Yes	No
Bitten another dog
Bitten another person
Runaway/ Fled a situation
Escaped confines of a crate or secured area

Primary Veterinarian Used?*

Please also list address if known

Please specify the date of the last vaccination or Titre test*

DD/MM/YYYY

For the safety of our personal dogs and your dog we will not accept dogs who do not either have a updated vaccination record or a titre test within the last 18 months.

How does your dog receive de-flea and de-tick treatment?*

Please note if this is given via traditional methods or natural treatment and when the last dose was given.

Is your dog on any current medications?

Please also note if these will need to be continued during their stay.

Does your dog have any further special requirements?

Please give as much description as possible.

Add nail trim (£15)Add a bath (£20)

Please Read and Review the Following: In-house Training Agreement Liability Release

I Have Read and Agree to the In-house Training Agreement and Liability Release*