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Enrolment Request - Bronze - September 2026
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Email
*
Your email
Handler's first name and surname:
*
Your answer
Only one person may work with the dog in the class, however you may wish to have an alternative handler should you be unable to attend. If so, please provide the name (first name and surname) of the alternative handler below & ensure you pay the additional £5 club membership subscription for this additional handler so they are covered by the club insurance.
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Address Line 1:
*
Your answer
Address Line 2:
*
Your answer
Address Line 3:
Your answer
Postcode:
*
Your answer
Preferred telephone (mobile or landline):
*
Your answer
Dog's Name:
*
Your answer
Dog's Breed:
*
Your answer
Dog's Date of Birth (DD/MM/YY):
*
Your answer
Is this your first dog?
*
Yes
No
Has your dog any significant behavioural issues - e.g.reactive towards other dogs/people
Your answer
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