Information about the Handler
Full Name of person handling dog *

Email *

Phone Number *

Postal Address *

Is the handler over the age of 15? * YesNo
If under 15, please specify     

Have you attended dog obedience classes before? * YesNo
If yes, please give details on highest level of training and where you trained:

Dogs Vaccinations*

Please submit a current vaccination certificate (including Bordetella for kennel cough).

Vaccination cards need to be scanned or photographed and attached here with your enrolment form or forwarded by reply email as soon as you have completed this form (you will be sent acknowledgement of your enrolment).

Click here for a example of what we need on your vaccination card.

Yes, my dog is currently Vaccinated     Next Vaccination Due:
Vaccinated Bordetella for kennel cough * YesNo

I have attached my dogs vaccination records* YesNo

Information about the Dog
*
*
Is this a Dog or a Bitch? * DogBitch
Dog's Date of Birth:   *

Is this your first dog? *   YesNo
Are they the only dog in your household? * YesNo
If no, how many dogs do you have in your household?     


Is your dog an "Inside Dog" or an "Outside Dog"? Select all that apply

Allowed InsideNot allowed inside at allSleeps InsideSleeps OutsideDog is trained to use a crate insideDog has an enclosed kennel and run outside
Other     If 'Other' is selected, please give details below:

     

How would you describe your dog's personality? Select all that apply

FriendlyConfidentWants to pleaseIndependentShyFearfulDominantAggressiveLikes other peopleDoesn't like other peopleLikes other dogsDoesn't like other dogs
Other     If 'Other' is selected, please give details below:

Are there any behavioural issues you think we should be aware of?
Understanding your dog's behavioural issues helps us to ensure you are placed into the most appropriate class. We do not pre-judge your dog based on its breed or history.


What is your main reason for coming to dog obedience?

How did you year about Waikato Canine Obedience Club? Select all that apply
GoogleFacebookWord of MouthBrochureSign
Other     If 'Other' is selected, please give details below:

Any thing else we should know?

Emergency Contact
In the event of a handler emergency please provide a suitable contact person.

DECLARATION *
I declare that I am responsible for my own safety and insurance during the course/s. I undertake and agree that neither myself nor any other member of my family or persons attending with me will make any claims against the Waikato Canine Obedience Club Inc or anyone else connected with this club in respect of any loss or injury to property, canine or person which may be sustained. I am also aware that any information or knowledge acquired or learnt on the course is strictly for personal use.

TERMS & CONDITIONS *
By ticking this box it indicates you have read, understand and accept our Terms & Conditions Policy.
Yes, I accept your terms & conditions and wish to proceed with my enrolment.