Canine Good Citizen Enrolment Form
Monday evenings (please check for the schedule and location)
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First Name *
Last Name *
Email address. By providing this you agree to receiving occasional emails about information relating to Club activities. *
Address *
Contact phone number *
Your dog's name *
Your dog's breed
Dog's (estimated) Date of Birth *
Have you and your dog passed Canine Good Basics class or equivalent? *
If equivalent to Canine Good Basics please describe
Have you and your dog attended the Dog Manners class? *
Dog Registration. Your dog must be registered with the local City Council before starting the course. Is your dog registered? *
Other details: Are there any special requirements, or issues/problems we should be aware of relating to your dog or yourself before you start the course? *
I understand that my position in the class will not confirmed until payment has been received *
I have read the UHDTC fees and payment webpage and refunds policy ( *
Are you a financial member of Upper Hutt dog training class, and have paid annual fees? See
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