Dog Safe: Kids Workshop Registration Form :: ELISTA Education - Education & Training in Animal Assistance & Therapy

learner zone

Workshop Terms & Conditions Policy

DOG SAFE: KIDS WORKSHOP REGISTRATION FORM

Please complete all sections to the best of your ability.

The information provided will be treated confidentially as per data protection regulation. ELISTA Education does not share data with third parties. Information supplied is used to ensure this is the most suitable course for you (as per quality assurance), if we have any concerns or queries we will contact you by telephone. Please ensure all details are correct.

Course Delivery

Date and location to be confirmed.

Personal Details

Your Name:			Email:
Address:			Home tel:
			Work tel:
			Mobile:
			Date of birth:

Child's Name

Please submit a seperate registration for each child.

Your Dog(s)

Details of your dog(s):

Please use the space below to share any further relevant information.

Declaration

I confirm that the details given above are true and correct.	Please Confirm
I have read and agree to the ELISTA Education Workshop Terms & Conditions Policy.	Please Confirm