Coast & Country Canines Workshops
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Post 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:
What's the biggest challenge you're facing with your dog right now?
*
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. Please advise your preferred contact method from the options below:
*
Email
Phone
Facebook PM
Would you like to join our newsletter? You will receive free training tips, offers and have priority booking to future workshops!
*
Yes
No
Are you happy for us to take pictures of you and your pet during the course and post them on our Social Media accounts or Website?
*
Yes
No
How did you hear about us?
*
Please Select
Facebook
Instagram
Flyer
Word of Mouth
Looking on the internet
Vet referral
Council workshop
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
Which Workshop are you planning on attending?
*
Focus & Engagement
Reliable Recall
Which Workshop are you planning on attending?
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Reliable Recall
£8.00
£
8.00
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