Booking Form – 6 Month Membership for All Aged Dogs This class caters for all aged dogs with the option of going into either the Next Puppy Class (under 5 months of Age) or the 10 Week Alpha Class (dogs 5 months and over). Once there is a New Puppy Class or Alpha Class you have the option of moving into these classes. Dogs in this class will get first priority before non members. A training Halter is included in the price but will only be fitted once the dog is at least 5 months of Age.. 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*Please enter the Age of your Dog. Note : Puppy must be at least 8 weeks old before commencing any classes.Dog's Sex* Female Male Dog's Breed*Please enter your Dog's Breed.Select Start Date* Please select the Date you would like to start your 6 month Membership. Note the start Date must be a Saturday and not a Long Weekend (Public Holiday either the Friday before the start Date or the Monday after the Start Date)Payment Type*6 Month Membership for all Aged Dogs. Dogs must be at least 8 weeks of Age to start classes.6 Months Membership Full Payment6 Month Membership Deposit6 Month Membership Payment PlanSelelct Payment Method*PaypalDirect Deposit Bank Account Name: Brigitte's Dog School BSB No. : 083-004 Account Number: 41-233-7187 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 KennelPet ShopLocal PaperOtherNameThis field is for validation purposes and should be left unchanged.