Does your dog go to weekly daycare and/or planning to board during the course of the class? *
Where did you hear about us?
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Dog's Name: *
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Dog's Sex *
Dog's Birthdate *
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Breed: *
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Weight: *
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Have You Taken a Class Before: *
If yes where
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Are you having problems in any of the following areas: *
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*If other what problems or issues you would like to address?
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How old was your dog when you adopted or bought it?
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What do you like most about your dog?
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What are your future goals for your dog?
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Your Dog's Veterinarian: *
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Veterinarian's Phone: *
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Is your dog spayed/neutered? *
Your Name: *
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Address/City/State:Zip *
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Phone Number *
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email *
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WAIVER OF LIABILITY:I hereby acknowledge that I have voluntarily applied to participate in dog training activities with “Something Els Dog
School, LLC”. I am aware that there are inherent risks and hazards involved in activities with and around dogs, and I am voluntarily participating in these activities with knowledge of potential dangers. I am aware that any dog, regardless of training, handling, or environmental circumstance, is capable of biting and I expressly acknowledge the risks therein. In order to participate in dog training classes or other activities, I, being fully informed of such risks and hazards, agree to assume all risks of such occurrences. I hereby waive any and all claims or actions that I or my guardians or representatives may have, from any and all personal injury to myself, my dog, children in my charge, or harm to property or person caused directly or indirectly, through action or inaction of self or others, by acts that might occur in dog training classes, any other format of training activities or secondary training without trainer present or engaged. I AGREE TO INDEMNIFY “Something Els Dog School, LLC” AND ITS EMPLOYEES AND AFFILIATES FROM ANY AND ALL CLAIMS BY MYSELF, MEMBER OF FAMILY, OR ANY AGENT WHILE WITHIN TRAINING FACILITIES, WITHIN MY HOME PROPERTY, OR IN THE GENERAL PUBLIC AS A RESULT OF ANY ACTION OR INACTION, OF EITHER MY DOG OR ANY ANOTHER. I ALSO AGREE TO ASSUME SOLE RESPONSIBILITY FOR INJURY OR DAMAGE CAUSED BY MYSELF, CHILDREN IN MY CHARGE, OR BY THE DOG I OWN OR HANDLE AND FURTHER AGREE TO INDEMNIFY, DEFEND AND HOLD THE INSTRUCTORS, TRAINERS, ASSISTANTS AND PROPERTY HARMLESS FROM ANY DAMAGE, LOSS, LIABILITY OR EXPENSE, INCLUDING LEGAL COST AND ATTORNEY’S FEES, WHICH RESULT FROM DAMAGE CAUSED BY MYSELF, CHILDREN IN MY CHARGE, OR BY THE DOG I OWN OR HANDLE.
I am fully aware of risks and hazards connected with being on the premises of Something Els Dog School, LLC, and I am fully aware that there may be risks and hazards unknown to me connected with being on said premises. I hereby elect to voluntarily be on and upon the premises and engage in activities knowing that conditions may be hazardous or may become hazardous or dangerous to me and my property. I voluntarily assume full responsibility for any risk of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to
property owned by me, as a result of my being on the premises, whether caused by the negligence of Something Els Dog School, LLC, its owners, employees or agents or otherwise.I have provided current vaccination documents from a licensed veterinarian.” Something Els Dog School, LLC “may use pictures of me or my dog for publicity or promotional purposes of Something Els Dog School, LLC without liability or obligation of any kind to me; however, no information/pictures can be sold or shared otherwise without additional consent. I have read the policies for dog training and I agree to adhere to them.
Refunds *I UNDERSTAND THAT I AM RESPONSIBLE TO CANCEL NO LATER THEN 48 HOURS BEFORE THE FIRST CLASS TO RECEIVE A REFUND (minus $25 for administrative fees.) THERE WILL BE NO REFUNDS AFTER THAT DATE.
By checking this box, you hereby agree to the terms and conditions set forth above. *
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A copy of your responses will be emailed to the address you provided.