Returning Handler Enrolment Information about the Handler Person handling the dog to complete this form. Information about my Dog 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. Yes, 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. Vaccination Information: Next Vaccination Due: Vaccinated for Bordetella Kennel Cough:YesNo Please provide dates for last 4 vaccinations: Please attached proof of vaccination dates from your vaccination book Anything 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. Yes, I accept this declaration. 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.
