Application The price for our distance learning program is $1475 plus 5% GST. Distance Learning Dog Training Program Please complete the following information and submit with your application fee. Step 1 of 3 - General Student Information 0% Name* First Last Cell PhoneEmail* Address* Street Address City State / Province / Region ZIP / Postal Code DOG INFORMATIONDo you own a dog?Yes, I would like to bring him/her to the programYes, but I am not bringing him/her to the programNo, but plan to get one before the programNo, I will need to have a dog supplied for meIf yes, your dogs name?Spayed or Neutered? Yes No No, but plan to have it done prior to course start date Does your dog show, or has it ever shown, any signs of aggression toward (check any that apply) Family members Dogs People Other animals None Is your dog fearful of (check any that apply) Loud noise Dogs People Unfamiliar surroundings None Does your dog have any medical problems that we should be aware of? (List) Any additional information about your dog we should know? If you have more than one dog, please list complete information for all dogs below. All innoculations, including Bordetella (kennel cough), must be up to date prior to commencement of the program. Please send a copy of your dog’s health records prior to start dateDuring the program, if you or your dog should acquire any contagious health condition, the school must be notified immediately for the safety of all participants. Education completed including high school (most recent first).*Name of InstituteLocationProgram of studyDate of last attendance Hobbies/Interests* What assets do you feel that you possess for this course? (ie. knowledge of breeds, previous work with animals, good communication skills, good physical condition, etc)* What are your career objectives after completing this program?* $150 NON-REFUNDABLE APPLICATION PROCESSING FEE* Price: $ 150.00 CAD 1. I understand that acceptance of this application in no way guarantees admission to the program or course. 2. I understand and accept that my application fee is non-refundable. The application fee will go towards ensuring all your questions are answered and ensure that our program is suitable for you. Included is a one on one interview with Ben Kersen. For those taking the onsite program, there will be questions pertaining to travel, accommodation, what dog to bring if you have one and more. Wonderdogs Training LTD. reserve the right to modify or cancel any course without notice or prejudice. 3. I hereby declare that the information I have submitted in this application is true and correct. I permit Ben Kersen to request and/or confirm any information necessary to support my application. I understand that falsifying any documents or information submitted will result in the immediate cancellation of my admission or registration. I Agree to the terms and conditions as included in the disclaimer on this application* Yes Type your full name to agree to our terms