Puppy Preschool® Application Form
Puppy Preschool® Application Form
Please complete the following short form before attending puppy preschool classes. A copy of the answers will be sent to your email address for your reference.
YOUR NAME *
Your answer
PHONE NUMBER *
Your answer
EMAIL ADDRESS *
Your answer
HOME ADDRESS *
Your answer
WHO IS ATTENDING THE CLASSES? PLEASE INCLUDE NAMES AND AGES OF KIDS (IF APPLICABLE). *Please note, children under 10 need to be supervised by an adult other than the handler. *
Your answer
WHAT WOULD YOU LIKE TO LEARN IN PUPPY PRESCHOOL? *
Your answer
YOUR PUPPY'S NAME *
Your answer
BREED/S (IF KNOWN) *
Your answer
YOUR PUPPY'S DATE OF BIRTH *
MM
/
DD
/
YYYY
YOUR PUPPY'S GENDER *
IS YOUR PUPPY DESEXED?
WHERE DID YOU GET YOUR PUPPY FROM? *
DATE OF LAST VACCINATION *
MM
/
DD
/
YYYY
TYPE OF VACCINE
DATE OF LAST FLEA TREATMENT *
MM
/
DD
/
YYYY
TYPE OF PRODUCT *
Your answer
DATE OF LAST WORMING TREATMENT *
MM
/
DD
/
YYYY
TYPE OF PRODUCT *
Your answer
DOES YOUR PUPPY HAVE ANY MEDICAL CONDITIONS THAT YOU ARE AWARE OF? *
Your answer
TERMS AND CONDITIONS

1. Consent – Training Consultations and Group Classes
a) I am the legal owner, or authorised representative of the owner of the pet(s) to be trained.
b) My pet has had its first C3 (or C4/ C5) vaccination at least 10 days prior first training lesson, is covered by adequate parasite control and is not showing any signs of illness prior to attending.
c) I acknowledge that any specific advice given to me or my representative by Pet Behaviour Vet (PBV) will have been carefully and specifically chosen to be used for the training or management of the stated pet only and is not intended for use in any other circumstances. Such advice includes that given during a training lesson, discussed over the phone, written in the manual, written in a generic fact sheet or that given via email, SMS, social media or any other official correspondence.
d) I consent to being contacted via telephone, email, SMS or social media during the length of the training course and for follow-up purposes in the future.
e) I consent to having my pet(s) trained by one of PBV’s trainers.
f) I understand that in cases where a medical problem or mental illness may be involved, my trainer may deem it necessary to temporarily cease training my pet and refer me and my pet to one of PBV’s behaviour veterinarians for an assessment and treatment, or send me back to my usual veterinarian for further medical treatment.
g) I understand that not all dogs are suitable for group classes. Any dog showing overt signs of aggression (lunging, barking, snapping, biting) towards another animal or human may be deemed unsuitable to attend group classes. In such cases, individual consideration will be given to complete the course on a one-on-one basis at an alternative time.
h) I understand that successful animal training programs depend on a combination of learned skills on the part of the pet and handler. An animal will not continue to perform even well-trained behaviours without ongoing practice.

2. Copyright and Intellectual Property
a) I will not make copies of any material distributed to me by PBV, unless I am given direct written permission to do so. If such permission is granted, I will copy or print such material in its entirety, including the PBV logo or letterhead and authorship (if present), so as not to alter the original meaning and context of the content, and I will cite authorship where it is due. Any copies made will be for my own reference only, and for the management of the intended patient only.

3. Liability
a) Due to the biological nature of behaviour, PBV cannot be held liable for any future costs (monetary or otherwise) related to any behaviour problem that my pet may currently have or may subsequently develop, nor will PBV be liable for any injury or damage that my pet may cause to any person, animal or property in any context in the future.
b) I acknowledge that although PBV may recommend other professionals (such as veterinarians or other animal professionals), PBV cannot be held liable for any recommendations made by such professionals.
c) I understand that, as the owner of my pet, I am fully responsible for any damages caused by my pet at all times, as outlined by the NSW Companion Animals Act.
d) I will follow all recommendations given to me by PBV staff to the best of my ability, and will encourage others who come in contact with my pet to do the same.

4. Privacy
a) PBV will not disclose my personal details or my pet’s medical records to any third party, unless I have given PBV permission to do so, or where required by law. The following exceptions apply:
i. I consent to allowing PBV to contact my pet’s current or previous veterinarian(s), behaviourist(s) and/or trainer(s) in order to discuss my pet’s case management, until my pet’s case is closed or the training class is completed, unless I specifically request the staff not to.
ii. I acknowledge that my trainer or other PBV staff may discuss my pet’s case with other veterinarians or trainers in a professional capacity, or use such information for teaching or research purposes. In such an event, no information identifying me or my pet will be shared.
b) I consent to having my pet photographed or videoed during a consultation or training sessions. I consent for this material to be used on the PBV website, advertising material or in social media promotions, unless specifically requested in writing.

5. Fees, Refunds and Participation in Classes
a) The course fee must be paid in full upfront via credit card or bank transfer upon booking to secure my position in the class. My position in the class is not guaranteed until this fee is received into PBV’s account.
b) The course fee is non-refundable for any reason as I am securing my position for the entire course at the expense of other potential customers.
c) A refund will only be considered if:
i. PBV have cancelled the class, in which case PBV staff will make all reasonable attempts to contact me to communicate this change of plans and to issue the refund.
ii. I am discontinuing the course due to unplanned, extenuating circumstances, such as my pet’s death, severe illness or hospitalisation, in which case a medical certificate from my vet will be required.
b) In the event of a refund, the amount refunded will be pro-rated in line with the number of classes missed.
c) I understand that not all dogs are suitable for group classes. Any dog showing overt signs of aggression (lunging, barking, snapping, biting) another animal or human, or serve fearfulness or anxiety may be asked to leave the class for the welfare of the dog and others in the class. In such cases, the cost of the remainder of the class (pro-rated) may be offered as credit to put towards private training with one of PBV’s staff.
d) Refunds or credits will be issued at the sole discretion of PBV’s director.

CONSENT *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Pet Behaviour Vet. Report Abuse - Terms of Service