Returning Handler, Term 4 – 2021 Person handling the dog * Email * Phone Number * Dog's Name: * Dog's Breed: * Dog's DOB: * What was the last class you trained in with us? Which level are you interested in enrolling for Beginner AdultIntermediate OneIntermediate TwoRally-O Please Note: Each level builds on the next, to ensure the most success from your training you need to solidify certain key skills & understandings based on a positive training platform. Assessment night is used as a guide for you to see how far your dog has come. It does not necessarily reflect how you and your dog have been performing during the term, or if you are ready to move up a level. We do this is to help ensure the on-going success of your dog training. I accept & understand that choosing a class from the above list does not mean I will be automatically placed in that class and that it is at the discretion of the WCOC Instructors & Head Trainer. Vaccinations Records* Please resubmit a current vaccination certificate (including Bordetella for kennel cough). Vaccination cards need to be kept as up to date as possible. Please scan or photograph these and attached here with your enrolment or forwarded by reply email as soon as you have completed this form. 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 What are you looking to achieve from the coming term? * Is there anything else we should know or have you had any issues/incidents crop up since you last trained with us? 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.