Client Registration Form

Client Registration Form

Provide as much detail as possible
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Contact number
Confirm which service you are booking?
Confirm over 18

YesNo
Emergency Contact name

First NameLast Name
Emergency contact number
Dog Name
Dog Breed
Dogs Age
Dog upto date with vaccinations

YesNo
Dog is microchipped

YesNo
Dog will be wearing a flat collar with UK compliant name tag

YesNo
Other equipment regularly used (harness etc)
If you have entire female please enter the date of their last season

MonthDayYear
Date
How will be handling the dog during session

Ownerother person
Person other than owner details if applicable

First NameLast Name
My dog is:

Entire maleEntire femaleNeutered maleSpayed female
Has your dog required veterinary advice in the last six months

YesNo
If yes please explain what for
Registered veterinary surgery
Vet Surgery phone number
enter valid phone number
I understand sessions may be cancelled without refund if I fail to notify CWB Dog Training of any change in my dogs health
Has your dog ever shown aggressive tendencies or reactive behaviour towards people or other dog's

YesNo
If yes please explain
Has your dog had any basic training at home or at a class? If yes please explain what training they have had
Please tell me what you and your dog are struggling with or want to learn *
Is there anything you would like us to be aware of? e.g. disability or learning style?
Please let us know you preferred method of contact

EmailPhone callMessage
Terms and conditions are also available to be sent by email on request.

(please note our terms and conditions are subject to change and you are advised to re read these each time before signing up to a course)

If you would like a copy of the terms and conditions sent to you by email please send your request to info.cwbdogtraining@gmail.com

Photos and videos of your dogs in training maybe used for marketing purposes.
Please verify that you are human*
Please sign below to confirm you have read and agree to the terms and conditions

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