| Full Name (*) |
Please type your full name. |
|
| E-mail (*) |
Invalid email address. |
|
| Home Phone |
Invalid Input |
|
| Cell Phone |
Invalid Input |
|
| Address |
Invalid Input |
|
| City |
Invalid Input |
|
| State |
Invalid Input |
|
| Zip Code |
Invalid Input |
|
| Vet Name |
Invalid Input |
|
| Vet Phone |
Invalid Input |
|
| Rabies Tag # |
Invalid Input |
|
| How may we help you? |
Invalid Input |
|
| What are you hoping to accomplish with your training? |
Invalid Input |
|
| Number of people living in your house, along with their ages |
Invalid Input |
|
| Your dog’s name |
Invalid Input |
|
| Dog’s Sex |
Invalid Input |
|
| Is your dog spayed/neutered? |
Invalid Input |
|
| If not, why? |
Invalid Input |
|
| What breed/mix? |
Invalid Input |
|
| Age of dog now |
Invalid Input |
|
| Age of dog when obtained |
Invalid Input |
|
| Where did you get your dog? |
Invalid Input |
|
| Any other pets? (Please list including name, breed, and how long they have lived with you) |
Invalid Input |
|
(Please list including name, breed, and how long they have lived with you)
| Does the dog have any health issues? |
Invalid Input |
|
| If yes, please explain |
Invalid Input |
|
| Please list medications your dog is on |
Invalid Input |
|
| What do you feed your dog? |
Invalid Input |
|
| Please list any Vitamins or Minerals you give your dog |
Invalid Input |
|
| Is this your first time owning a dog? |
Invalid Input |
|
| - A Puppy ? |
Invalid Input |
|
| - An Adult ? |
Invalid Input |
|
| How often is your dog left alone in the house? |
Invalid Input |
|
| Where is your dog when left alone in the house? |
Invalid Input |
|
| How does your dog act being left alone? |
Invalid Input |
|
| Have you ever taken your dog to an obedience class? |
Invalid Input |
|
| - If so, where & what class: |
Invalid Input |
|
| Have you ever had private dog training? |
Invalid Input |
|
| - If so, with whom & what training? |
Invalid Input |
|
| If you go near or touch your dog’s food or dish when he is eating, will he show teeth, snap or “freeze” in place? |
Invalid Input |
|
| - Explain: |
Invalid Input |
|
| If your dog has a treasured object in his mouth and you try to take it from him, will he show teeth, snap or “freeze” in place? |
Invalid Input |
|
| - Explain: |
Invalid Input |
|
| If your dog is on your bed or the furniture and you try to ask him to move or get off, will he show teeth, growl or snap? |
Invalid Input |
|
| - Explain: |
Invalid Input |
|
| What is his/her typical reaction when meeting or seeing other dogs? |
Invalid Input |
|
| What is his/her typical reaction when meeting or seeing people? |
Invalid Input |
|
| Have you ever been concerned about your dog’s interaction with family or non-family members? |
Invalid Input |
|
| - Explain: |
Invalid Input |
|
| Does your dog chew destructively when you’re home? |
Invalid Input |
|
| Does your dog chew destructively when you’re not home? |
Invalid Input |
|
| How much exercise does your dog get each day? |
Invalid Input |
|
| What kind/type of exercise? |
Invalid Input |
|
| How many hours is your dog alone each day? |
Invalid Input |
|
| How many times has your dog bitten another dog? |
Invalid Input |
|
| How many times has your dog bitten a person? |
Invalid Input |
|
| Please list three things you love about your dog |
Invalid Input |
|
| How did you hear about K9 Korral Obedience Training Center, inc? |
Invalid Input |
|
|
| Name of Class |
Invalid Input |
|
| Date/Time |
Invalid Input |
|
| Waiver of Liability: |
| K9 Korral Obedience Training Center,Inc and or K9 Massage & Body Works,Inc will endeavor to create as safe an environment as possible for the class or private training of my dog and will endeavor to offer only sound, safe, and responsible training and training instructions. However, I recognize that K9 Korral Obedience Training Center,Inc and or K9 Massage & Body Works,Inc is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times. I hereby agree to abide by the rules and policies of K9 Korral Obedience Training Center,Inc and or K9 Massage & Body Works,Inc training private instruction or classes as set forth in this contract. I understand that attendance of dog training classes or private instruction is not without risk to myself, members of my family, guests who may attend, or to my dog. In consideration of, and as inducement to the acceptance of my application for training membership in this training class or private instruction, I hereby agree to indemnify and hold harmless K9 Korral Obedience Training Center,Inc and or K9 Massage & Body Works,Inc its officers, directors, instructors, agents, employees and/or representatives of any and all claims, or claims by any member of my family, or accompanying guests of mine of injury, expense, costs or damages to myself, my dog or any handler sponsored by me both in class and out of class or private instruction. In addition, I agree that I will defend and indemnify K9 Korral Obedience Training Center,Inc and or K9 Massage & Body Works,Inc for any injury, expense, costs or damages to any dog handlers or dogs, whether sponsored by me or not, or to third parties arising out of my own actions or the actions of my dog. I have read the above-stated provisions, and agree to accept those responsibilities. |
| (*) |
Invalid Input |
|
| (*) |
Invalid Input |
|
| Digitally sign your full name(*) |
Invalid Input |
|
| Date(*) |
Invalid Input |
|
|
|
|
just north of downtown off of 301 just look down Princeton Street and you will see our Store & Training Center (gold building with Rocko’s Big Head & Paw Prints on it.)