The Gums Companion Dog Training - New Member Enrolment
New Member Enrolment Fee $90 (includes membership fee, first term and treat pouch)
* Subsequent terms can be paid either $30 in advance per term or at the casual rate of $4 per lesson. To secure your place in next intake we require your completed enrolment form and payment of full membership fee ($90) which can be transferred into our account BSB 065006 Account 10108327 (Commonwealth Bank, account name Sheryl Holland) - use your name as reference. Please bring proof of current vaccination to your first lesson.
About You...
Full Name
*
Full Name
*
Address
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact
*
Name
Phone Number
Emergency Contact (Name and Number)
About Your Dog...
Dog's Name
*
Breed (if known) and Colour
Breed (if known) and Colour
We have attended
*
Puppy School
Other training
No other training
My dog is socialised with
*
Other Dogs
Adults
Children
Other Animals
Not socialised
My dog has shown aggression to/around
*
Other Dogs
Adults
Children
Food and/or Objects
Nil
Dogs
Yes
No
Adults
Yes
No
Children
Yes
No
Dogs
Yes
No
Adults and/or Children
Yes
No
Food and/or Objects
Yes
No
My dog has demonstrated the following behavioural issues
*
What is your reason for undertaking companion dog training?
*
How did you hear about us?
*
Social Media
Friend/Family Recommendation
Google
Previously Attended
Campbelltown Council Website
Local Dog Park
Local Signage
Live Locally
Have Seen Classes
I understand:
That I am responsible for the behaviour of my dog, physically able to control him/her and will maintain effective control at all times. That my dog is to remain on leash whilst at training unless otherwise instructed during class. That I will not leave my dog unattended on the grounds. That I will advise my instructor if my dog is not comfortable around other dogs. That I will be instructed in force-free, positively reinforced training methods and the use of force, aversives and punishment will not be encouraged or tolerated. That I will follow the instruction of The Gums and if deemed necessary obtain alternative training if, and as, recommended by The Gums. That my dog is fully vaccinated and will be kept up-to-date with vaccinations.
I have read and understand the above
*
Full Name
Date
Submit
Should be Empty: