Thursday Canine Assisted Activities Booking Form
Class time: 5-6pm
Location: Beeston Rylands Community Centre
As this class is currently full we will contact you to confirm your position on the waiting list. If enough people join the waiting list for us to launch another class we will always strive to do so.

This form is just used to reserve your space. You will be asked to complete more extensive paperwork at your first class.

Email address *
Your Name (parent) *
Your answer
Childs Name? *
Your answer
Childs Age?
Your answer
Will you be bringing a dog to the session?
I understand that classes cost £32.50 per calendar month (required in advanced - by the 1st of the month) *
Required
I understand that if i'm late with payment a £5 late fee will be required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service