Workshop Registration
Kiwi Vet Behaviour
Which Workshop would you like to register for?
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Reactive Dogs Workshop (register to join the mail list)
Fear in Dogs (register to join the mail list)
Nail Care for Dogs (register to join the mail list)
Guardian Information
Please provide details of the human participant for the event
Name
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First Name
Last Name
Preferred pronoun
She/her
He/him
They/them
Other
Phone Number
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-
Area Code
Phone Number
Email
*
example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pet Information
Please provide details of the pet you are attending this workshop for/with
Name
*
Breed
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Age
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Is your pet male or female?
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Male
Female
Is your pet desexed?
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Yes, they are spayed/neutered
No, they are entire
Does your pet have any current health concerns?
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Please give a brief description
Your pet's behaviour around other people/animals
This does not limit their ability to attend class, it simply allows us to prepare in advance to provide you and all other class attendees with the best experience we can. Feel free to contact us to discuss in more detail if you wish. Please note, if you are registering to our Christmas Pool Party event, you will have private access to our facility.
Has your pet ever shown any aggressive behaviours towards other animals/people?
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Has your pet ever shown any fearful behaviours towards other animals/people?
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Please provide your pet's vaccination record
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Browse Files
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Your puppy must have had one vaccination minimum. If you are registering to a human only event, please upload a blank image to bypass this section.
Cancel
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Where did you hear about us? If you've been referred, please let us know more about them.
I agree that submitting this form will complete my registration.
I agree to be invoiced, and understand that if I cancel within 7 days of the 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.
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