June 2015 Training Registration Form
Unit 3/112 Fison Ave, Eagle Farm
Please complete this form and return with payment to train@pawsandrelax.com.au 3 working days prior to the commencement of class.
T E RM S
COURSE
All Paws & Relax (P&R) course fees
are inclusive of GST.
☐ Paws & Prepare
2hr session
Free
C O NFI RM A T I ON
☐ Puppy (8 – 16 wks)
6 X 1 hr sessions
☐ Tues 23rd June @ 6.30pm
$180
$145 (Rescue & P&R Day-care parents) ☐ Sat 27th June @ 7:30 am
P&R will confirm receipt of your
registration 7 business days prior to
the scheduled date of the course.
C A NC ELLA T I ON P OL I C Y
☐ Tuesday 16th June @6.30pm
☐ Saturday 20th June @ 10am
☐ Tues 23rd June @ 8:00 pm
☐ Tweenies (4 – 8 mths) $180
$145 (Rescue & P&R Day-care parents) ☐ Sat 27th June @ 9:00 am
6 X 1 hr sessions
☐ Basic Paws
Cancellations are accepted up to 7
6 X 1 hr sessions
business days prior to the scheduled
course date. After that day, the full YOUR DETAILS
course fee is payable. If you cannot
attend the scheduled course P&R
First name:
would welcome a substitute
participant. No refund will be made Rescue group:
for non-attendance on the day.
☐ Mon 1st June @ 8:00 pm
$180
$145 (Rescue & P&R Day-care parents) ☐ Sat 27th June @ 10:30 am
Family name:
Postal Address:
Postcode:
In the case of non-attendance due
to illness, participants may
reschedule to a later course at no
charge.
Mobile:
Phone:
I NFO RM A T I ON C O L L EC T ED
DOGS DETAILS ( Vaccinat ion certif icate must be produced for inspection )
I L LNES S
Email:
Information collected on this form is Dog’s name:
used for registration purposes and
may be used to distribute
Breed:
information about other P&R
activities. Information will not be
Vet’s details:
passed onto a third party.
R I GHT S & RES P ONS I B I L I T I ES
Date of Birth:
☐ Male ☐ Female
☐ Entire
☐ De-sexed
Microchip number:
Expiry date of current vaccination:
If necessary to cancel a course, P&R GOALS
will make every effort to contact you
What would you like to achieve from the coaching course?
and no payment will be required.
We also reserve the right to adjust
costing if required for future
Previous training experience:
courses.
P HOT OG RA P H Y
By signing this form, I consent to
images taken during the provision of
the service being used, including
without limitation, by publishing
them as part of a, poster, brochure
or report, newspaper
advertisement, book or article,
television advertisement or
program, radio advertisement or
program and including on the world
wide web or any other media.
Friendly towards DOGS
Friendly towards HUMANS
☐ Always
☐ Always
☐ Sometimes
☐ Sometimes
☐ Never
☐ Never
PAYMENT
☐ Bank Transfer BSB No.:
Account Name:
Reference:
☐ Credit card:
484-799
Account No.:
Paws & Relax Account
Please use dog’s name and your surname
☐ Visa ☐ MasterCard
Credit card number:
Expiry date:
CCV:
604546580
Amount: $
Signature:
How did you hear about us?
Paws & Relax Pty Ltd
ABN – 86 167 015 661
www.pawsandrelax.com.au
Once completed, this form becomes a TAX INVOICE
Unit 3 / 112 Fison Ave (West), Eagle Farm
PO Box 10025, Adelaide Street, Brisbane Q 4000
Phone: (07) 3157 8990 / admin@pawsandrelax.com.au