REGISTRATION FORM NAME ADDRESS POST CODE: TELEPHONE EMAIL DOGS NAME BREED SEX ENTIRE / NEUTERED / SPAYED AGE IS YOUR DOG A RESCUE DATE BEGAN LIVING WITH YOU: DIET DATE OF LAST VACCINATIONS VET PRACTICE HEALTH/ MEDICAL ISSUES No OF PEOPLE ATTENDING CLASS AGE OF CHILDREN ATTENDING HEALTH/MEDICAL/DISABILITY ISSUES OF PEOPLE ATTENDING ©Gemma Stephen, Natures Whisper: Dog Behaviour Solutions, 2013. CLASS YOU WOULD LIKE TO BOOK FOR: PUPPY Life Skills ADULT Reliability PLEASE CIRCLE CLEARLY & DATE Start Date: Start Date: SHY/ NERVOUS OVER EXCITABLE/ OVER POWERING WHAT DO YOU WISH TO ACHIEVE FROM THE CLASSES? HOW WOULD YOU DESCRIBE YOUR DOGS TEMPERMENT? CONTENT/ CALM FRIENDLY GRUMBLY / GRUMPY PLEASE CIRCLE CLEARLY ARE YOU EXPERIANCING ANY PROBLEMS WITH YOUR DOG? E.G Reactive to unfamiliar people/ children reactive to dogs, separation anxiety, aggressiveness PAID COURSE Please circle how you have paid & state the amount CASH CHEQUE Natures Whisper Direct BACS : Santander 09-01-27 37885764 I agree that the above information is true & correct to the best of my knowledge. I understand that the dog training classes are £8 per class & I have provided my registration payment for the course. Signing this registration you are agreeing to have read & accept all terms & conditions of the class requirements. Print Name: Signature: Date: Please return form to the Gemma Stephen, 12 Revesby Ave, Grimsby, DN34 5JW Or email the completed form to: following address: gemma@natureswhisper.co.uk Payment of the course is to be paid along with this form in: cash /cheques/BACS, for the sum of the course. Unless prior arrangements of payment have been arranged with Gemma’s full Knowledge. Forms & payment must be received no less than 2days before the class to secure your place on the class course. Please return the form asap to avoid disappointment as classes are limited to 6 dogs per class & is on a first come first book basis. Kindest Regards Gemma Stephen BSc Hons ©Gemma Stephen, Natures Whisper: Dog Behaviour Solutions, 2013. Terms & Conditions Please note that classes are NOT the place for severe behaviour issues such as aggression towards people, children or other dogs, in home severe concerns such as separation anxiety & traumatic fear or stress episodes. If you feel your dog fits into one or all these categories or you are unsure, please contact Gemma to arrange a 1-2-1 private consultation in your home were Gemma will help you remedy the problem for the better. If your dog progresses well in 1-2-1 sessions Gemma may recommend a class appropriate for you to attend in the future. Classes Puppy classes cut of age is 5month old, Adult class start at 6months. Classes are run with a maximum limit of 6 dogs per class to ensure everybody gets fair support. Classes run with a minimum of 4 people to ensure that the dogs receive the benefits of socialisation practice. If a class drops below this number the class maybe rearranged or depending on the circumstances cancelled. If the class is cancelled then notice will be given asap and a refund of that class payment will be given. Classes are fun and easy & are not designed to be tedious. Learning & training is force-free & physical manipulation free, positive only & reward based, to ensure your dogs learn efficiently, easily & safely. Upon registration booking you are confirming attendance for the full course. If you cannot make a class please let Gemma know in advance & she will make alternate arrangements for you to ensure completion. All efforts are put in place to ensure yours & your dog’s safety during the class. However clients are responsible for themselves, children & their own dogs during the classes, regarding health & safety. It is understood that Gemma Stephen or the venue do not hold responsibility or blame for personal injury or damage/ loss to personal property during the duration of the classes. Children are welcome here at the classes & are encourage to participate in class. Clients are responsible for their children at all times & responsible for their behaviour & must keep them under strict supervision. It is important to remain focused on your dog’s learning at the same time as supervising your children. You agree that your children will not disrupt the learning process of the dogs. If children are disruptive Gemma reserves the right to ask the parents to not bring the children to class next time. Classes are best suited for children over 5, children under 5 may attend after discussion with Gemma & upon Gemma final decision if a second adult is present. ©Gemma Stephen, Natures Whisper: Dog Behaviour Solutions, 2013. Dogs Puppys must have had all required vaccinations & the veterinarians all clear to attend classes or go outside. If you are unsure when this time is please contact your local vet to discuss. Some dogs are not suited to a class environment or are not comfortable, it is new & unusual. Please approach and discuss your options with Gemma as she will make alternate arrangements for you to suit your needs & provide you with a space item to signal to other members of the class that your dog requires more time & space away from others to learn. Gemma has experience with deaf dogs & people with mobility disabilities. Discuss your concerns & situation with Gemma & she will make alternate arrangements for your needs during class. Clients are responsible for cleaning their own dog’s toileting accidents immediately. It is important to maintain hygiene of the venue for other users & for the dogs mixing to prevent the spread of illness or disease. Rules Puppys must remain on lead at all times & separate from other puppys until stated & instructed by Gemma Herself. Dogs must remain on a lead at all times & away from other dogs until stated or instructed by Gemma herself. Any accidents or injuries must be reported to Gemma ASAP Gemma does NOT condone the use of the following equipment & they are NOT welcome to be used in these classes: Choke Chain collars /check chain collars/ Prong collars Flexi Leads Electronic collars that’s spray or make sound or electrocute No equipment that causes pain or discomfort to the dog Gemma has the right to refuse the use of equipment she feels is unsafe or inhumane Classes do NOT condone the use of Harsh punishment or punitive techniques in teaching a dog to learn. Use of violent physical contact, hitting, poking, pinching, biting, pinning a dog on the floor or ground, choking, spraying, kicking, pack leader/ top dog methods to show control or pushing a dog into positions or whipping are NOT permitted in these classes at all! If Gemma witnesses anything noted above or anything which she deems as inhumane treatment she reserves the right to dismiss them from class without refund. ©Gemma Stephen, Natures Whisper: Dog Behaviour Solutions, 2013. Cancellations & Missed classes If you need to miss a class due to holidays if you let Gemma know the date before the course begins you will not have to pay for that missed class. If Gemma is made aware once the course has begun that you need to miss a class, due to last minute holidays or illness I am afraid there will be no refund for that missed class due to overheads & costings to run the course for numbers given. Cancellations of the full course itself made 2weeks in advance of course start date have a full refund Cancellations of the full course itself made 1 week in advance of course start date have a 50% refund of amount paid Cancellations of the full course itself made less than 1week then the class start date a refund is NOT available due to costings & overheads to run the course for the numbers given. What extra items I need to bring to class : Poo Bags Normal Collar & Lead, No chains or flexi leads. (Harnesses ARE allowed especially for breeds such as bulldogs etc preferably a harness where the lead attaches to the chest not the back (it is optional & they can be bought by Gemma directly) & haltis are allowed but they will be encouraged to be removed with progression) a blanket your dog can lie on (you can bring the dogs bed if it is appropriate, no crates) A clicker Food (Measure out your dogs daily feed in the morning & bring a portion of the kibble to the class to use for treats, or use sausage, hot dogs, cheese or chicken) try to avoid packet treats due to health but this is not compulsory not to use them. Your dogs favourite toy & a kong type toy Pen & paper to take notes if necessary. Any other items Gemma will inform you to bring to class if needed. A welcome information sheet will be sent to you upon receiving your form & deposit. ©Gemma Stephen, Natures Whisper: Dog Behaviour Solutions, 2013. ©Gemma Stephen, Natures Whisper: Dog Behaviour Solutions, 2013.