1-2-1 Training Registration Form Name: (required) Names of all family members who will be attending sessions: (required) Address: (required) Phone Number (required) Email Address (required) Any special considerations that we ought to know about any of your family before your first class:(wheelchair user / hearing or sight loss / learning difficulties / autistic spectrum / mobility issues) Dog's Details Name Age Breed Vaccination Status Vet practice registered at: Acquired from (breeder/rescue/other): What age when acquired? How does your dog react to other people and dogs? Have you undertaken training elsewhere, if so where and what methods were used? Your Goals Please list what you are hoping to gain from your training session with Helen and what you hope to teach your dog: Please Read And Sign Below: By ticking this form, you agree to the following: You will bring your dog to training sessions on a flat collar or body harness and fixed lead. Choke/check chains, shock/spray collars and flexi leads are not permitted during training sessions. The training you will be shown is motivational, reward-based and force free. No aversive measures or harsh treatment will be tolerated and you will be expected to use food and toy rewards. Whilst every care is taken, Helen Hitchings cannot be held responsible for any loss, damage or injury to persons, property or dogs during training sessions. Please Tick Here Payment must be made to secure your place. One-off sessions are £55. A 3 week course is £130. Please specify which sessions you would like to book - the options will have been emailed to you. Payment can be made by bank transfer to: RBS Bank: Positive Pets Sort Code: 16-28-24 Account Number: 10973354 or by cheque, made out to Positive Pets and posted to 115 Festing Grove, Southsea, PO4 9QE Please either print and post your form with your cheque or email it back to:firstname.lastname@example.org with details of how you have paid. You will then receive confirmation of your place.