Next Course Dates – Empangeni Dog Club

Name and Surname *
First
Last

Residential Address: Street Number *

Residential Address: Street Name *

Residential Address: Suburb *

Telephone (Home)

Telephone (Business)

Cellphone *

Email *

Name of person that will do the actual training with the dog *

Dog's Name *

Breed *

Gender *
Male
Female

Sterilised *
Yes
No

Dog's date of birth *

Last vaccines done on which date *

Vet's Name *

Training Venue *
Empangeni
Richards Bay

Course Name *
Puppy School (4 weeks) - Course for puppies aged 8 to 16 weeks
Beginners Obedience (6 weeks) - Course for dogs of 4 months of age and older
Novice Course (6 weeks) - To qualify, members must have successfully completed the Beginners course
Intermediate Course (6 weeks) - To qualify, members must have completed the Novice course

What do you want to achieve from this course? *

How did you hear about us? *

Terms *
I agree to the terms on the previous page