K9 Nose Work® Registration Form 11 - 12 July 2015
Unit 3/112 Fison Ave (West), Eagle Farm
Please complete this form and Pet Profile and return with payment to train@pawsandrelax.com.au
Dogs must be pre-registered and monies received 7 days prior to the commencement of the course.
*PLEASE NOTE* This seminar is only suitable for those interested in K9 Nose Work® or those at beginner level.
It is NOT suitable for those at the odour stage
CANCELLATION POLICY
WORKSHOP OPT IONS
Cancellations are accepted up to 7
business days prior to the scheduled INTRODUCTION TO NOSE WORK ®
course date. If cancellation is
☐ $135 (inc GST)
☐ Saturday 11th July
approved, a $50 fee will apply.
No refund will be made for nonattendance on the day. P&R would
welcome a substitute participant.
9 am – 12 pm
☐ $75 (inc GST)
Handler with dog
Observer with no dog
☐ Saturday 11th July
1.30pm – 5:30 pm
☐ $135 (inc GST)
☐ $75 (inc GST)
Handler with dog
Observer with no dog
☐ $180 (inc GST)
☐ $120 (inc GST)
Handler with dog
Observer with no dog
☐ $180 (inc GST)
☐ $120 (inc GST)
Handler with dog
Observer with no dog
INFORMATION
SNIFFING OUT OF THE BOX
COLLECTED
th
Information collected on this form is ☐ Sunday 12 July
9 am – 12 pm
used for registration purposes and
may be used to distribute
☐ Sunday 12th July
information about other P&R
1.30pm – 5:30 pm
activities. Information will not be
passed onto a third party.
YOUR DETAILS
POSITIVE TRAINING
METHODS
First name:
P&R does not use or recommend
Rescue group:
the use of aversive training
techniques including the use of
choker/check chains or prong collars Postal Address:
during training.
Family name:
Postcode:
Mobile:
RIGHTS &
RESPONSIBILITIES
Email:
If necessary to cancel a course, P&R
will make every effort to contact
DOGS DETAILS
you and no payment will be
required. We also reserve the right
Dog’s name:
to adjust costing if required for
future courses.
All care is undertaken by P&R and
staff to ensure safety to all who
attend the centre. However I
understand that my attendance is
not without risk to myself, my
attending guests, or to my dog and
therefore will not hold the P&R or
staff responsible for any damage
caused.
PHOTOGRAPHY
( V ac c in a ti o n cer t if i ca te mus t be pr od u ce d f or i ns p ec t i on )
Date of Birth:
☐ Male ☐ Female
Breed:
☐ Entire
☐ De-sexed
Expiry date of current vaccination:
PAYMENT ( No p la ce s res erv e d wi t ho u t pay me nt )
Payment type
☐ Visa
Bank Transfer
BSB No.:
484-799
Account Name: Paws & Relax
☐ MasterCard
☐ Bank transfer
Account No.:
Reference:
☐ Cash
604546580
Dog’s name and your surname
Credit card No:
By signing this form, I consent to
images taken during the provision of
Expiry date:
the service being used, including
without limitation, by publishing
them as part of a, poster, brochure
or report, newspaper
advertisement, book or article,
Signature:
television advertisement or
program, radio advertisement or
program and including on the world
wide web or any other media.
HOW DID YOU HEAR
ABOUT US?
Paws & Relax Pty Ltd
ABN – 86 167 015 661
Phone:
☐ Email
CCV:
☐ Facebook
☐ Web
Once completed, this form becomes a TAX INVOICE
Amount: $
☐ Other
Phone: (07) 3157 8990
WEB: www.pawsandrelax.com.au
Remember to bring along LOTS of yummy, high-value treats for your dog such as cheese, chicken, ham or sausage.
Pet Personality Profile
If attending with your dog, can you please complete this Pet Personality Profile and return with Registration Form.
This will help Peta & Marion know a little bit about your dog so they can ensure you have the best experience while attending K9
Nose Work®.
Yes
No
Does your dog have any allergies or food
they CANNOT eat? (Food/grass etc)
☐
☐
Does your dog have any health or physical
issues we should be aware of?
☐
☐
Does your dog dislike or fear certain people
or other dogs?
☐
☐
Has your dog ever bitten a person?
☐
☐
Does your dog come to you when called?
☐
☐
My dog will settle quietly in a crate
☐
☐
Have you and your dog had any previous
training experience?
☐
☐
Please provide details
Is your dog shy, timid, reactive to, stressed, unsure or overly excitable/aroused to of any of the below (if so, please detail):
Yes
No
New environments
☐
☐
Loud noises or specific objects
☐
☐
New or unfamiliar people
☐
☐
New or unfamiliar situations
☐
☐
New or unfamiliar dogs
☐
☐
How does your dog behave if you leave them alone whilst in a new environment?
What would you like to achieve from the workshop?
Document1
Please provide details
Document1