All Age Puppy Program

Owner First Name *
Owner Surname *
Street Address *
City *
State *
Post Code *
Phone Number *
Email Address (non NT Gov or NT Schools email addresses please)(Please check spam folder as you will get an automatic email once you submit this form and future emails may also go there) *
Facebook Profile (required for course access) *
Is your dog a PAWS Darwin Dog *
Do you have valid vouchers from your PAWS Adoption? *
Animal Name *
Breed *
Gender *
Size *
Date of Birth *
Colour *
Is your dog Desexed *
Is your dog up to date on vaccinations *
Does your dog have any known health issues (especially ringworm) which could impact training? *
If yes above please supply details?
Does your dog have any known behavioural issues we need to know about? *
If yes above please supply details?
Why do you wish to bring your dog to training? *
I understand the course is $160 and to be paid in full at the start of the first session. Vouchers must be supplied on day one. * Unless you have adopted a puppy from Paws when the training is free
I am interested in the following classes: *
SERVICES PROVIDED: Classes are taught by Lisa Hansen and Bec Leek, professional dog trainers, and their team. *
The Trainer, at his/her discretion, may refuse entry to any dog which is not healthy, is aggressive or does not seem suitable for the services provided. *
REMOVAL FROM TRAINING: Trainer, at his/her sole discretion, may remove a pet from class if a hazard or threat of any nature to any other animal or person is present. No refund will be given under such circumstances. *
CLEANLINESS: Owner is responsible for the removal of excrement that their pet is responsible for
LIABILITY: Owner agrees to indemnify and hold PAWS Darwin Trainer and Trainer’s employees/agents harmless from all liability for any loss, damage or injury to persons, animals or property arising from or related to Owner’s pet. *
Owner agrees that Trainer shall not be liable for loss or damage to animal for any reason unless said loss or damage was a direct result of Trainer’s negligence. *
Signature of Applicant. Please use your finger on touch screen or click and hold your left button to use your mouse above the line. * Please sign on screen or click and hold your left button to use your mouse.
Date *