Class Registration
for Kiwi Vet Behaviour
Please select the class you would like to register for:
*
Puppy (8-14wks, register to join the waitlist)
Adolescents (7-20months, register to join the waitlist)
Tweens (14 wks-7months, register to join the waitlist)
Helping Pets with Vets (register to join the mail list)
Scent Work (register to join the mail list)
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Primary Guardian Information
Please complete for the person who will be bringing your pet to class
Name
*
First Name
Last Name
Preferred pronoun
She/her
He/him
They/them
Other
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Pet Information
Please provide information about the pet you will be bringing to class
Name
*
Breed
*
Age
*
Is your pet desexed?
*
Yes, spayed/neutered
No, entire
Is your pet male or female?
*
Male
Female
Does your pet have any current health concerns?
*
If so, please describe briefly
Please upload a photo of your pet!
Browse Files
Drag and drop files here
Choose a file
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Please provide proof of your pet's vaccinations
*
Browse Files
Drag and drop files here
Choose a file
As per NZVA recommendations, only one vaccination is required to start classes. Please contact us if you have any questions or concerns about vaccinations.
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Your Pet's Behaviour
Please answer the following honestly. Your answers will not limit your pet's ability to attend classes, it simply allows us to prepare in advance to provide you and all other class attendees with the best experience possible. Please contact us to discuss in more detail if you wish.
Has your dog ever shown any aggressive behaviours towards dogs or people?
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Yes
No
Has your dog ever shown any fearful behaviours towards dogs or people?
*
Yes
No
Is your dog ever reactive, either on or off leash?
*
Yes
No
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Where did you hear about us? If you've been referred, please tell us more.
Are you a registered vet or vet nurse? If you're referring a friend, please let us know who so we can apply your discount:
Terms and Conditions
At Kiwi Vet Behaviour we are committed to providing the best possible outcomes! Our training and recommendations will always prioritise the safety and wellbeing of your pet and household. Please read the following carefully. If you have any questions please contact the team at Kiwi Vet Behaviour to discuss before completing and agreeing to our terms & conditions.
Honesty Policy
I have provided accurate information to the best of my knowledge and have not purposely withheld any information regarding my pet's health or behaviour. I agree to update the Kiwi Vet Behaviour team with any changes in my pet's health or behaviour that may have an impact on the safety of my own pet and/or other animals and people.
*
I agree
I disagree
I understand that much of my pet's learning and progress will occur in between and outside of formal training sessions and for this reason the Kiwi Vet Behaviour team cannot guarantee any training and behavioural outcomes.
*
I agree
I disagree
Health & Safety
I confirm that I will update Kiwi Vet Behaviour if I or anyone in my household are showing any symptoms of COVID19 or return a positive COVID test prior to any appointments.
*
I agree
I disagree
I confirm that, to the best of my knowledge, myself or my pet have NOT been exposed to distemper, ringworm, kennel cough, leptospirosis, parvovirus or PBFD within the last 14 days.
*
I agree
I disagree
I agree to let Kiwi Vet Behaviour contact my primary veterinary practice for my pet’s clinical history information.
*
I agree
I disagree
I agree to follow the relevant health and safety protocols when on-site at the Kiwi Vet Behaviour centre.
*
I agree
I disagree
Costs & Cancellation
I understand that cancellations 7-days from classes and workshop, no-shows or non-responses may only receive a 50% refund.
*
I agree
I disagree
I understand that Kiwi Vet Behaviour reserves the right to refuse service to myself and my pet at any time for any reason.
*
I agree
I disagree
I understand that to ensure the safety and effectiveness of any training programs, Kiwi Vet Behaviour reserves the right to cancel or reschedule any training sessions if we deem conditions unsuitable. This includes but is not limited to severe weather conditions.
*
I agree
I disagree
Media/photography
(non-compulsory)
I agree to allow images and videos of my pet to be taken for educational/promotional purposes for Kiwi Vet Behaviour’s website and social media platforms. I understand that as images can be downloaded from the internet, Kiwi Vet Behaviour is not responsible for any unauthorised use of these images.
I agree
I disagree
I agree that submitting this form will complete my registration.
I agree to be invoiced for this class, and understand that if I cancel within 7 days of the course start date I will only be refunded 50% of my total course fees.
Your name:
*
Please type your full name to agree to our invoice/cancellation policy.
Complete Registration
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