Please print, complete and return to address below:
(please note this in an administration address and not the training salon address)

SPECIAL FX Creative Dog Grooming Training
Willow Farm
Reedham Lane
Coningsby
Lincs
LN4 4RX

ENROLMENT FORM

Student Name...........................................................................

Start Date.................................................................................

Course Duration.........................................................................

Cost.........................................................................................

Personal Details - to be completed by student

Address................................................................................................
............................................................................................................
............................................................................................................
Telephone Number.................................................................................
E-mail address......................................................................................

Tetanus (yes or no and date of accine if possible)....................................

Any particular breeds or subjects you wish to cover in depth....................
..........................................................................................................
..........................................................................................................

Your aims on completion of course........................................................
..........................................................................................................
..........................................................................................................

Deposit of 20% payable to reserve your course when booking (non refundable).

Balance is due to be paid 14 days before course commences.

PLEASE MAKE CHEQUES PAYABLE TO SPECIAL FX

Next of kin and contact telephone number...............................................

Any medical problems we should be aware of (i.e. asthma, epilepsy, eczema,
back pain, allergies etc.............................................................................