Surf Coast Workshops August 2025 Registration Form

I wish to register for:*

Training Spot The Ultimate Safety Net Saturday 9 August 9.30 am— 12 pm $195Training Spot Un-Chase! Saturday 9 August 1 pm— 3.30 pm $195Un-Chase! Snakes 8-Week Training Program $675 (Workshop Sunday 10 August 9 am—11.30 am)Observer The Ultimate Safety Net Saturday 9 August 9.30 am— 12 pm $85Observer Un-Chase! Saturday 9 August 1 pm— 3.30 pm $85

Student Name*

First NameLast Name

Additional person attending (if training spot)

First NameLast Name

Mobile Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Dog's Name*

Dog's Breed /Breeds*

Gender*

Dog's Date Of Birth or Age*

Please describe the situations, animals, objects, or machines where your dog will chase (or appears interested in chasing), pulls on the lead, or will not respond to you:*

Is your dog comfortable in close proximity to unfamiliar dogs?*

YesNo

If your dog is not comfortable in close proximity to unfamiliar dogs, please describe your dogs behaviour:

Is your dog comfortable in close proximity to unfamiliar people?*

YesNo

If your dog is not comfortable in close proximity to unfamiliar people, please describe your dogs behaviour:

Does your dog have any food allergies? If, so, please list:*

In the event of a human emergency, please provide a contact name and phone number of next of kin:*

Terms and Conditions

Dogs attending workshops must have a current vaccination for the recommended core vaccines in the workshop location.

The primary handler must be at least 16 years of age.

If restrictions are implemented by the Australian 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 or have tested positive for COVID-19. Penalties will also not apply if your trainer has COVID-19 symptoms or is sick or the business is unable to operate due to lockdown directions or restrictions.

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

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 force-free, positive reinforcement training methods throughout the workshop.

I/all parties personally assume all responsibility or liability for our dog/s and agree to hold Un-Chase!, Pup Ruckus, 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 up for this event, 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.

Registrations will not be confirmed until full payment is received.

I have read and agree to the terms above

Signature

Workshops August 2025

Dog's Details