APPLICATION FORM

Beginner courses commence on: Please indicate which course you wish to join by TICKING the appropriate BOX.

7:00PM TUESDAY 

6th January 2009
 at
Finchley Sea Cadet Hall

 

7:00PM MONDAY   

19th January 2009
 at
Finchley Sea Cadet Hall

8:00PM MONDAY

2nd February 2009
 at
Finchley Sea Cadet Hall

VENUE: Sea Cadet Hall: 184a Long Lane Finchley N3 2RA  (opposite Montpelier Road)
1/2 mile from Hollywood Bowl and North Circular Rd
The cost of the 6 week course is £ 95.00 per dog, payable in advance

HANDLERS DETAILS

Name:

TELEPHONE:     

Day
Evening

Address:

 

 

Postcode

MOBILE

Provide an email address for RECEIPT & MAP

EMAIL:  

Where did you hear about the Club

Do you have any disabilities (Hearing, Back Problems etc)?:
How many people live with the dog?       If children, please specify ages:

If you own another dog?- Please give details (breed, age, sex)

DOGS DETAILS

Dogs name:   ..........................                  Breed:        ........                  Sex                 Neutered?  Y / N

Date of Birth:                                       Age when bought?:

Source dog obtained from:                                          Did you see the mother?

Which Veterinary Practice do you attend? .................................... any illness in the last 6 months?

Do you have Dog Insurance ? If yes, which company :

If you found our website on the Internet which Search Engine did you Use? .......................................... YAHOO / YELL / GOOGLE /  MSN /  OTHER.

...............NOW PLEASE COMPLETE THE BEHAVIOUR QUESTIONNAIRE PAGE..............

I agree to abide by the rules of Barnet and District Dog Training Clubs, and enclose my cheque for £ 95.00
made payable to  BARNET & DISTRICT DTC . Courses are transferable but non-refundable.

SIGNED _____________________________                                                                                        DATE ­­­­­­­­­­­­­­­­­­­­­­

Please Send All Correspondence To:

Barnet & District DTC  27 Deepdene, Potters Bar, Herts EN6 3DF

Telephone Enquiries about this course: - Contact the Club Secretary on 01707 654277

BOOKINGS CANNOT BE ACCEPTED WITHOUT PAYMENT           ( last update 17/11/08)

Your receipt and joining instructions will be sent to you by email if you need a copy to be sent by post (time allowing) Tick Here