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. Is your Dog a Rescue Dog?Please select Yes or No from the Drop Down list if you dog is a Rescue Dog.NoYesName* 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 and Years*Please enter the Age of your Dog. Dogs under 5 Months of Age must select the 6 Months Membership (New Clients) or the 4 Week Puppy Class.Dogs Sex*Please select Male or Female from the Dropdown ListMaleFemaleDog'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 Class15th September (9am Start)Class Type Payment*This class has week 1 as an Information session and is without your dog. A Training Halter will be fitted Week 2.10 Week Alpha Full Payment10 Week Alpha Deposit10 Week Alpha Payment PlanSelect Payment Method*Please note - All Prepaid Bookings using Paypal or Direct Deposit (and received) will get first priority over Cash Payment on the day.. Contact the school to confirm Booking if you are paying by Cash on the DayPaypalDirect 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.