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  • T2021 - Smart Puppy Registration Form Filled

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    This document is a registration form for a puppy class. It contains information about Dilip Gulati registering his 3-month old Labrador Retriever named Yellow for puppy training classes. The form includes Dilip's contact details, Yellow's vaccination history, the goal of socialization for the class, and that there are no current concerns with Yellow. Dilip selected the Rivonia location for the 8am puppy class and will pay via EFT. He signed to acknowledge responsibility for Yellow during class and that missed classes cannot be refunded.

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    T2021_Smart Puppy Registration Form filled

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    T2021_Smart Puppy Registration Form filled

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    This document is a registration form for a puppy class. It contains information about Dilip Gulati registering his 3-month old Labrador Retriever named Yellow for puppy training classes. The form includes Dilip's contact details, Yellow's vaccination history, the goal of socialization for the class, and that there are no current concerns with Yellow. Dilip selected the Rivonia location for the 8am puppy class and will pay via EFT. He signed to acknowledge responsibility for Yellow during class and that missed classes cannot be refunded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    30 views1 page

    T2021 - Smart Puppy Registration Form Filled

    Uploaded by

    dilipgulati
    This document is a registration form for a puppy class. It contains information about Dilip Gulati registering his 3-month old Labrador Retriever named Yellow for puppy training classes. The form includes Dilip's contact details, Yellow's vaccination history, the goal of socialization for the class, and that there are no current concerns with Yellow. Dilip selected the Rivonia location for the 8am puppy class and will pay via EFT. He signed to acknowledge responsibility for Yellow during class and that missed classes cannot be refunded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    PUPPY 

    CLASS REGISTRATION FORM 
    Date:    30th June 2023
    ______________________________________ 

    Puppy Parents Name(s):  DILIP GULATI


    ______________________________________ 

    Contact Tel No (s):  0846477334
    ______________________________________ 

    Email Address:    dilipgulati@gmail.com
    ______________________________________ 
    12, 6th Avenue, Edenburg, Rivonia, 2128
    Postal Address:    ______________________________________ 

    Puppy’s Name (s):  YELLOW
    ______________________________________ 

    Date of birth :    2nd March 2023


     ______________________________________ 

    Date of adoption :  23rd April 2023


     ______________________________________ 

    Breed of Puppy:    Labrador Retriever


    ______________________________________  

    Pups vaccine history:  ______________________________________ 

    (or scan vaccine booklet)  ______________________________________ 

    What are you hoping to


    achieve from Puppy class? Socinalization
    ______________________________________________________________________

    Do you have any concerns


    with your puppy currently? No
    ______________________________________________________________________

    Puppy class venue :  Fourways ✔ Rivonia  Bryanpark  Chartwell  Sloppy Kisses


    Bryanston (Mount Street)  Midrand    Family Vet (Fourways Crossing) 

    Puppy class Time and  8am
    _______________________________________ 

    Date: Payment method :  Cash    ✔ Eft 

    Indemnity: 

    I, the undersigned, acknowledge that I will be fully responsible for any actions of my puppy/puppy in my 
    possession whilst at the Puppy class venue.  The puppy should be on lead unless instructed differently by the 
    trainer.  Every reasonable effort is made to ensure your safety and the safety of your puppy but there are 
    inherent hazards that exist puppy training, I acknowledge that we participate at our own risk and will have no 
    claim against the trainer or the Practice where the classes are held should an accident or injury occur. 

    We ensure that our classes are manageable in size, this benefits the handler and particularly the puppy. Once
    your space is booked and paid for we will not be able to refund you for classes missed.  

    Signature:  Dilip Gulati


    ______________________________________________________________________

    OR: Tick that you have read and agree: ✔

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