One 2 One enrolment form

    Has your dog injured another dog or person
    YesNo

    If yes please give details of the injury?

    Do you require a written report of your consultation?
    YesNo

    Please see my 121 terms and conditions HERE

    I have read the T&C for 121 with dog.help

    Payment Type: (please select one)
    CashChequeBacs

    Deposit Paid:
    YesNo

    Please make cheques payable to Penelope Hoare.
    Please mark BACS transfer clearly with your name and the course you are applying for. My BACS Details are: SORT CODE: 53 50 55 ACCOUNT NUMBER: 11278471.