360 Academy Registration Form
@ Woolston Community Centre
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
*
E-mail
*
example@example.com
Please provide an Emergency Contact
*
First Name
Last Name
Phone Number
*
Dog's Name
*
Dog's Date of Birth:
*
Dog's Breed:
Does your dog have any health issues, allergies or behaviour concerns?
*
Yes
No
If yes, please provide more information below:
How would you prefer to receive any of the information and/or training methods discussed during our session(s)
Bullet Points
Short step by step instructions
Video
Infographics
Any/No preference
We might require to contact you from time to time, for example if we need to change course or class dates/times, confirm your attendance or in the event of the training classes being cancelled due to unforeseen circumstances. No SPAM nor promotional email/messages will be sent. Please advise your preferred contact method from the options below:
*
Email
Phone
Facebook PM
Are you happy for us to take pictures of you and your pet during the course and post them on our Social Media accounts?
*
Yes
No
How did you hear about us?
*
Please Select
Facebook
Instagram
Flyer
Word of Mouth
Looking on the internet
Would you like to receive news about future Courses, Workshops or Offers?
Yes
No
Please confirm you have read our T&C at https://www.360pawsibilities.co.uk/terms-and-conditions/ and accept them:
*
I can confirm I have read the T&C and I accept them
DISCOUNT CODE?
What Course are you planning on attending?
Puppy School - October
Puppy Home Schooling
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