Gippsland Workshops: May/June 2025 Registration Form I wish to register for: * Saturday 31/5/25 1 pm - 3:30 pm - Ultimate Safety Net Training spot ($165 per dog) Saturday 31/5/25 1 pm- 3:30 pm - Ultimate Safety Net Observer spot ($85 per person) Sunday 1/6/25 10:00-12:00 Puppy UnChase Workshop Training spot ($145 per dog) Sunday 1/6/25 10:00-12:00 Puppy UnChase Workshop Observer spot ($85 per dog) Sunday 1/6/25 1 pm - 3:30 pm - UnChase Workshop Training spot ($165 per dog) Sunday 1/6/25 1 pm- 3:30 pm - UnChase Workshop Observer spot ($85 per person) Student Name * First Name Last Name Additional person attending (if training spot) First Name Last Name Email * Phone * (###) ### #### Dog's Name * Dog's Breed/Breeds * Gender * Male Entire Male Neutered Female Entire Female Spayed Dog's Date of Birth or Age * Please describe the situations, animals, objects, or machines where your dog will chase (or appear interested in chasing), pulls on the lead, or will not respond to you: Is your dog comfortable in close proximity to unfamiliar dogs? * Yes No If your dog is not comfortable in close proximity to unfamiliar dogs, please described your dog's behaviour: Is your dog comfortable in close proximity to unfamiliar people? * Yes No If your dog is not comfortable in close proximity to unfamiliar people, please described your dog's behaviour: Does your dog have any food allergies? If so, please list: * In the event of a human emergency, please provide a contact name and phone number of your next of kin: * Terms and Conditions * Dogs attending workshops must have a current vaccination for the recommended core vaccines in the workshop location (DHP/Pi2/BB). The primary handler must be at least 16 years of age. If restrictions are implemented by the Australian Government and your workshop needs to be cancelled, then this will be done without penalty to you. In addition, penalties will not apply if you are unable to attent the workshop because you or a member of your household have COVID-19 symptoms or have tested positive for COVID-19. Penalties will also not apply if your trainer has COVID-19 symptoms or is sick or the business is unable to operate due to lockdown directions or restrictions. If you are sick or unwell for any reason (in addition to COVID-19), you will be unable to attend the workshop. If this is the case, you will not incur any penalties, and you will be provided a full refund. I/all parties agree to follow all instructions given to me by the instructor at all times. I/all parties agree that my dog will wear a flat collar and/or harness. Correction (check) chains and other equipment, such as prong collars or electric shock collars, are strictly prohibited. I/all parties agree to use force-free, positive reinforcement training methods throughout the workshop. I/all parties personally assume all responsibility or liability for our dog/s and agree to hold Un-Chase!, Hope On A Leash, or any of their representatives free/harmless from any claims for loss or injury to persons or things due to negligence or any other reason while on or upon the training premises or grounds or near the entrance thereto. By signing up for this event, you/all parties acknowledge that the information that you/all parties have provided is true, and you/all parties agree to the above terms and conditions. Registration will not be confirmed until full payment is received I have read and agree to the terms above Thank you for enquiring with Hope On A Leash. We’ll be in touch within 48 hours (business days). Please keep an eye on your spam folder.If you haven’t heard from us, please reach out….just in case our dog ate our homework!