'Come to Me - Rocket Recall' Workshop Registration Form

Workshop date you would like to register for:

I would like to attend the workshop with my dog

It will just be me and my dogI will attend with another person (2 people and my dog)

Student Name

First NameLast Name

Partner's Name

First NameLast Name

Are there any other people living in your household? If yes, please tell us about your household.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student E-mail

example@example.com

Mobile Number

Alternative Phone Number

Dog's Name

Dog's Date of Birth (or approximate age if not known)

Breed

Gender

Is your dog desexed?

YesNo

Has your dog had any previous training? If so, where and what level or course did your dog attend?

What cues (words or signals from you) does your dog respond to reliably? Please list:

Does this dog live with any other dogs?

NoYes, one other dogYes, two other dogsYes, more than two other dogs

How much time does your dog spend inside the house?

Where does your dog sleep?

What do you feed your dog? (Kibble, raw, homemade, tinned etc)

How often do you feed your dog?

Where do you leave your dog when your dog is home without human company?

On average, how many hours a day is your dog without human company?

What toys does your dog like to play with?

Please tell us about your dog's current responses to you when you call your dog to come to you.

Does your dog have any medical issues or allergies? If so, please tell us about them.

Is your dog comfortable in close proximity to unfamiliar people?

YesNo

If your dog is not comfortable in close proximity to unfamiliar people, please tell us about your dog's behaviour.

Is your dog comfortable in close proximity to unfamiliar dogs?

YesNo

If your dog is not comfortable in close proximity to unfamiliar dogs, please tell us about your dog's behaviour.

Do you have any allergies or health concerns that we need to be aware of?

In the event of a human emergency, please provide the name and contact number of your next of kin.

How did you hear about this workshop?

Additional Comments

Terms and Conditions

As spaces are limited, your place at the workshop is only confirmed once payment has been received. Payment can be made via bank transfer as follows:

Bank: ANZ

Account Name: April Williams / AllAbouttheHound

A/C #: 06-0746-0710877-00

Please use RTM-WKSP as your reference.

Dogs attending workshops must have a current vaccination for the recommended core vaccines in the workshop location. All dogs must also be up to date with flea and worm treatments.

The number of people (including children) attending per dog is limited to two. The primary handler must be at least 16 years of age.

We are currently operating with a COVID-19 Safe Work Plan. If restrictions are implemented by the New Zealand government and your workshop needs to be cancelled, then this will be done without penalty to you. In addition, penalties will not apply if you are unable to attend the workshop because you or a member of your household have COVID-19 symptoms, have tested positive for COVID-19, or have been directed to quarantine. Your trainer has COVID-19 symptoms, is sick or has been directed to quarantine. The business is unable to operate due to lockdown directions or restrictions.

If you are sick or unwell for any reason (additionally to COVID-19), you will be unable to attend the workshop. If this is the case, you will not incur any penalties. You will be provided with a full refund or an opportunity to reschedule.

I/all parties agree to follow all instructions given to me by the instructor at all times.

I/all parties agree that my dog will wear a flat collar and/or harness. Correction (check) chains and other equipment such as prong collars or electric shock collars are strictly prohibited.

I/all parties agree to use kind, gentle force free, positive reinforcement training methods.

Registrations will be confirmed when full payment is received.

I/all parties personally assume all responsibility or liability for my/our dog/s and agree to hold AllAbouttheHound or any of their representatives free/harmless from any claims for loss or injury to persons or things due to negligence or any other reason while on or upon the training premises or grounds or near the entrance thereto.

By signing this form you/all parties acknowledge that the information that you/all parties have provided is true and you/all parties agree to the above terms and conditions.

Signature

Date

'Return to Me - Rocket Recall' Workshop Registration Form

Dog's Details