Application Form

Title *

Last Name: *

First Name: *

Address *

Suburb *

Phone Number - Home *

Phone Number - Mobile *

Email Address *

Please enter here details of any other handler that may be teaching at the class/or some classes *

Are you a member of the Tasmanian Canine Association? *

Yes

No

Dog's Name *

Dog's Breed *

Dog's Age *

Dog's Gender *

What is your level of knowledge of dog training? *

Has your dog had previous training? *

Yes

No

Attended another Obedience Club

Obedience Training at SOC

Agility Training

Protection Training

Gun Dog Training

Other *

How did you learn of the Club? *

Website

Facebook

Current Member of the Club

Former Club Member

Other

Is there any exercise you hope will be taught in the course? *

Any special needs of dog or handler that might affect training? *

Do you intend to keep track of term dates, and class cancellations by accessing the Club’s website? *

Yes

No

Do you intend to keep track of term dates, and class cancellations by accessing the Club’s Facebook site? *

Yes

No

Do you agree to abide to the terms of service listed in the FAQ section? *

Yes

Please upload a scan of your Dog's current vaccination record (File types accepted are gif, jpg, png, jpeg and pdf) *

Drag and drop files here or Browse