Registration form

Name *

Adress and City

E-mail adress *

Phone number *

Name of the dog *

Dog breed / mix *

Date of Birth of the dog *

Sex of the dog *

Female
Male

Castrated? *

Yes
No

Does the dog have a physical illnes? *

Yes
No

If your dog has a physical illness, please clarify this in the remarks section.

Is the dog on medication? *

Yes
No

If yes, which medication is prescribed?

I would like to register for: *

Puppy Course
Basic Obedience 1
Basic Obedience 2
Detection
Hoopers for Beginners

Have you previously followed a course with your dog? If so, what kind of course? *

Remarks

How did you find Minerva Dog Training?

Via friends / acquaintances
On Google
Via Social Media
Different:

I agree with the terms and conditions *

Send me a copy

Leave this field empty

For general terms and conditions click here