Puppy registration form

Comments or questions are welcome.

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PERSONAL DETAILS

Name:*

Address:*

CONTACT DETAILS

Mobile number:*

Home number:*

Email:*

Your details will not be shared with any third party.

PUPPY'S DETAILS

Dog's name:*

Dog's breed:

Dog's date of birth:*

Vet's name and contact details*

Date of vaccination(s)*

Puppies will be accepted after their first vaccination if your vet agrees. If your dog has not been vaccinated, you must provide written evidence of a clean bill of health from your veterinary surgeon.

Does your dog have any health issues that we should be aware of?*

OTHER

Please give details of any other pets at home.*

Do you have any special needs that we should consider?*

Where did you hear about Contemplating Canines?*

ABOUT YOUR PUPPY

What is your puppy’s temperament like? For example, does he like meeting new people, travelling in the car, meeting other dogs, walking in traffic, being around children?*

What do you feed your puppy?*

What influenced your choice of breed?*

Why are you bringing your puppy to class?*

Are there any particular training issues you would like to cover?*

Does your puppy have any medical problems we should be aware of?*

PAYMENT DETAILS

Please make cheques payable to K A Mallatratt or bank transfer: Nationwide Building Society, account number 17319489 sort code 07 01 16. Thank you. Your place will be reserved once remittance is received.

Signed:*

Print signature*

Date:*

Thank you for completing this form. We look forward to meeting you!

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Puppy registration form

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