Booking Form – Alpha Dog Training 2018 The first week is an information session and without your dog. Week 2 you will receive the Training Halter which will be fitted on your dog prior to starting the class. Weeks 1 to 5 starting time is 9am Weeks 6 to 11 starting time is 10am Is your Dog a Rescue Dog?*Please answer YES if you have a Rescue Dog. No Yes Name* First Last Address Street Address City State / Province / Region ZIP / Postal Code Country AustraliaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Email* Enter Email Confirm Email Phone*Dogs Name*Dogs Age in Months*Please enter the age of your Dog in Months. Dogs under 5 Months of Age must select the 4 Week Puppy Class.Please enter a value between 5 and 99.Dog's Sex* Female Male Dog's Breed*Please enter your Dog's Breed.Select Start Date*Please select the Date that you would like to start the Alpha Dog Training Class17th March 2018 - 9am Start5th May 2018 - 9am StartClass Type Payment*This class has week 1 as an Introduction session and is without your dog. Weeks 2 to 5 will be with your dog, followed by 6 Weeks in the Basic Class. Please note the 6 Week Basic Class starting time is 10am . Alpha Dog Training - Full paymentAlpha Dog Training - DepositSelelct Payment Method*PaypalDirect Deposit Bank Account Name: Brigitte's Dog School Account Number: 923 100 62366735 Please use your Full Name in the Description Total Payment $ 0.00 How did you hear about Brigitte's Dog School*FacebookGoogleYellow Pages OnlineWord of MouthDogDayz Boarding KennelDelahey Village VetLocal PaperOtherEmailThis field is for validation purposes and should be left unchanged.