May 17, 2016 admin Application Form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Training Classes are held at: Finchley Sea Cadet Hall, 184A Long Lane, London N3 2RA Free on street parking is available a short walk away in the area around Long Lane and Montpellier Road N3. We offer a four week course of 4x 1.5 hour each session on consecutive weeks at the same time/day. The cost is £116.00 per dog for a course, payable in advance, places can only be reserved upon payment. First choose below which day course you wish to start. Choose which course date you wish to start * Tuesday Evening 6pm on the 23rd October 2018Saturday Morning 10am on the 27th October 2018 Special Note: The Saturday course above will Start on the Sat 27th Oct and end on Sat 1st December. There will be no class on 3rd or 24th November. Class dates for the Saturday class will be as follows: 27/10/18, 10/11/18, 17/11/18 & 1/12/18 Handlers Details First Name * Last Name * Mobile Phone * Address 1 * Zip / Post Code Email * Do you have any disabilities (Hearing, Back Problems etc)? YesNo Further Details DOGS DETAILS Dogs Name * Dogs Breed Sex Neutered Y / N YesNo Date of Birth of your Puppy - Call us if your dog is over 9 months OTHER DETAILS Breeders Name Breeders Phone Number Breeders Email How would you rate your experience with this breeder --- 1 Could Do Better 3 Good 2 Ok 4 Very Good 5 Brilliant Which Veterinary Practice do you attend? Has your dog had any illness in the last 6 months? Yes No Details of Illness Where did you hear about us? YellGoogleOther Internet Search, Bing, YahooRecommended by someoneLocal Vet Been to us beforeOther If you found us on the Internet. Can you remember what search phrase you used to find us? Which Payment Method * Debit/Credit CardBank Transfer BACSPaypalSending Cheque Clicking SUBMIT will take you to the secure payment page IMPORTANT NOTE: Course places can only be reserved and confirmed upon payment.
