Training Class Booking Form
Please specify course:  Puppy/Junior/Adult/Senior…………
Owner Information
Name: Mr/Mrs/Miss	First Name: ............................... Surname: .....................................
Address: ...................................................................................................................................
Home Phone: ..................................................  Mobile Phone: ...............................................
Email: .......................................................................................................................................
Emergency Contact Name: .............................  Telephone: ...................................................

Pet Information
Pet Name: .......................  Breed: ..........................  Age: .........     Sex: M/F    Chipped: Y/N 
Any allergies and/or food intolerances: …………………………………………………………………………….
Describe your dog’s personality: Friendly / Calm / Placid / Excitable / Nervous / Boisterous
How does your puppy respond to the following (scale 1=poor – 10=excellent):
Meeting new people: ……   Meeting new dogs: ……   Children: ……  Travelling in the car: ……

Veterinary Information
Name of Veterinary Surgeon: .................................................................................................
Address of Practice: ................................................................................................................
Telephone Number: ...............................................................................................................
Date of last annual booster: ……………..  I confirm my dog is up to date with vaccinations Y/N
Worming and flea treatments up to date: Y/N
Any other information
………………………………………………………………………………………………………………………………………….
How did you hear about At Your Dog’s Pace: ……………………………………………………………………
Start Date: ……………………..    Venue: Orthodox Church, 403 Leyland Lane, Leyland, PR25 1TA
Terms and Conditions
Payment in full is required at the time of booking to secure your place. If payment is not received the space will be made available again. We will endeavour to call you before we do this, however, this cannot be guaranteed.
If it becomes necessary for you to cancel the course after you have booked and paid for it but before you have started it we require 5 working days notice before the start date for a refund to be made. Any refund made will be reduced by an administration fee of £15.00. If you start the course and then cancel or fail to turn up no refund will be made. We do not allow any form of harsh handling and we use proven kind and effective techniques. Therefore, we do not accept check chains, pinch, prong, electric or compressed air collars, rattle cans, water sprays or any aversive devices. All you need to bring is a standard lead or training lead (no flexi/extendable leads) plus a collar and/or harness, variety of training treats (e.g. tiny bits of chicken, sandwich ham, cheese, cocktail sausages, etc) and avoid bringing biscuit type treats (e.g gravy bones).
You must not knowingly book an aggressive or highly reactive dog onto the course. If in doubt please call to discuss further. If your dog struggles to cope in the class environment we will offer an alternative solution such as 121 training.
At Your Dog’s Pace we will make all reasonable endeavours to run courses in a safe and professional manner at all times. At Your Dog’s Pace has business insurance including public liability and professional indemnity suitable for dog training and dog walking. Any physical activity can have risks, however remote. Participation in At Your dog’s Pace activities is entirely at the risk of the participant. Neither At your Dog’s Pace, nor its individual instructors or helpers, nor the owners or landlords of our training venues, accept any responsibilities, whatsoever, for any injuries or losses sustained which are not covered by At Your Dog’s Pace insurance. Handlers and/or owners remain responsible for their dogs at all times and are advised to ensure they have adequate pet or household insurance cover for liability in the unlikely event of damage or injury caused by their dog to property or to a third party.

Payment via bank transfer: £70
Sort code: 11 06 18
Account number: 01800363
Payable to: Miss J D Elvey
Ref: Your dog’s name

Confirmation of your booking will be sent once payment has been received.
If you have any questions please get in touch. 
Kind regards,

Jennifer Elvey

07891142957
info@atyourdogspace.co.uk
www.atyourdogspace.co.uk