Membership Form

Next Induction Session

Below are the dates, days, and times of our next Session. There is an opportunity for you to choose a preferred day / date, but it might not be possible to provide you with your session choice.

Preferred Session Date*

Tuesday 21st June, 7.00pm

Wednesday 22nd June, 7.00pm

No Preference

Please Note: We can't guarantee you a spot in your preferred session as spots are filled on a - first come, first serve basis.

Your Contact Details and General Information

Your Name*

First Last

Address*

Street Address Address Line 2 Suburb Postcode

Email*

Mobile / Home Phone*

Emergency Contact Name*

Emergency Contact Mobile / Home Phone*

Resident in City of Charles Sturt*

Yes

Pensioner / Healthcare Card Holder*

Yes

Is English your second language?*

Yes

Can we publish photos of your dog?*

Yes

Trainer's Gender*

Male

Female

Non-Specific

Age Group*

How did you hear about us?*

Friend / Relative

Facebook

Website

Google / Bing Search

Council

Vet

Member Previously

Passing by

Please upload proof of your COVID vaccination.*

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 32 MB.

At this time, all members attending the club are double or triple vaccinated. We are only accepting new members who are also vaccinated. If you are not vaccinated, please do not continue with your application.

Do you have any medical conditions or physical limitations that our Instructors need to take into account during classes?*

Yes

If you answered yes to the previous question, please specify in the box below. If you answered no, please type NA.*

Questions About Your Dog

Dog's Name*

Dog's Breed*

Date of Birth*

Vaccination Date*

Please Upload a copy of the Current Vaccination Certificate*

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 32 MB.

Why did you choose this breed, and this particular dog?*

Have you owned / trained dogs previously?*

Yes

How long have you had your current dog?*

Where did you get him/her?*

Who does your dog share their home with?*

Where does your dog sleep?*

Is your dog allowed inside? If yes, when and how often?*

How many hours per day is your dog without human company?*

Please enter a number from 0 to 24.

Does your dog have any food allergies/intolerances?*

What food does your dog eat?*

How many times daily is your dog fed?*

Please enter a number from 1 to 5.

Does your dog have access to toys/bones all the time?*

Yes

Describe your dog’s weekly exercise regime.*

What would you like to achieve with your dog at training?*

What are the best things about your dog?*

What would you change about your dog?*

Describe your dog in 8 words.*

Has your dog ever growled at, barked at, lunged at, or bitten a person? (Apart from puppy mouthing)*

Has your dog ever growled at, barked at, lunged at, or bitten another dog?*

Does your dog require assistance with any of these behaviours? (Please choose all that apply. If non, please choose NA.)*

Aggression

Anxiety

Reactivity

Lunging

Excessive Barking

Fear of other Dogs

Fear of humans

If you ticked any of the above behaviours, please provide details here. If you ticked NA, then please type NA here.*

Have you, or anyone else, ever been afraid of your dog? If yes, why?*

Please choose the statement that you agree with the most.*

Reward based, Force Free training is specifically what I want.

I don't really care what method I use, as long as it works.

Consent

Please make sure you visit all pages before ticking the required boxes below.

Club Rules*

In applying for this membership, I / we agree to abide by the Club Rules of the Woodville Community Dog Training Centre Inc.

Terms and Conditions, and Privacy Policy*

I have read and agree to the Terms and Conditions and the Privacy Policy.

Membership & Payment

Memberships*

Total

Credit Card*

Cardholder Name

Card Number

Expires

CVV / CVC

Post Code

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