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 17th October 2017 (4x 1.5hr)Saturday Morning 10am on the 25th November 2017 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 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.
