Basic Good Manners Video Application
Email *
Your Name *
Dog's Name *
Dog's Age *
Dog's Breed *
Has anyone in the home attended training classes before (including the dog)? If so, please explain. *
Has your dog ever acted aggressively toward humans or other animals? If so, please explain in detail:
Phone Number *
Address *
Do you consent to your dog will be videotaped? *
Do you consent to yourself and family being videotaped? *
What times and days work best to attend tapings? Please check all that apply.
How did you hear about Atta Pup?
Purpose of This Form
This is a sign-up form for participation in training videos. These videos will be shared with paying students. If chosen, you and your dog will be taught and trained by a professional trainer at your home. This will be in a private session style, and you will be expected to practice the skills between video shooting days. There is a $500 fee** for participation in this program. The full-price value is approximately $700. This program covers a good manners class curriculum within 7 lesson days. You will not receive any financial compensation for participation or royalties of any sort.

**This price is only applicable to residents within a 20 mile radius of Hagerstown. For those outside of this radius, there will be a $15 travel fee per each 20 miles. This is not open to residents farther than 40 miles away.
Do you understand and agree to the above paragraph? If no, your dog will not be considered for this program. *
Would you prefer an accelerated program or a regular program?
Clear selection
Terms and Conditions
You must view the free PowerPoint in order to participate. (If you are selected, it will be sent to you later.)

Payment: Payment is due prior to first taping.

Taping: Dog must attend all taping sessions with consistent human(s). (Do not send your dog to a taping with someone who has not also been attending or viewing.) You must commit to five or six taping dates and times.

Removal From Training: Trainer, at his/her sole discretion, may remove a pet or person from taping if a hazard or threat of any nature to any other animal, person, or thing is present. No refund will be given under such circumstances.
I, the undersigned owner/handler (client) of the dog described above do hereby agree that Heather Gruber, Atta Pup! Dog and Puppy Training and all Atta Pup! employees and agents will not be liable for any damage or loss resulting from failure of the dog to respond to any cues or behaviors taught to him/her by Atta Pup! or resulting from counseling and advice supplied to the owners/handlers of the dog. The dog’s behavior now and in the future is solely the responsibility of the owners/handlers (client) of the dog. Should any behavior on the dog’s part now or in the future result in damage to the property, owners, or person or property of some third party, owner agrees to assume full responsibility for any and all such damage, and to absolve Heather Gruber and Atta Pup! and all Atta Pup! employees and agents from any and all obligations to pay such damage to owner/handler or third party. All dogs are trained or otherwise handled or cared for by or owner/handler receives instruction from Heather Gruber and Atta Pup! without any liability whatsoever against Heather Gruber, Atta Pup! or any Atta Pup! employee or agent for loss, damage from disease, death, running away, theft, fire, injury to or from persons, other dogs or property, or by any other causes.

At Trainer's sole election, Trainer's duties hereunder shall terminate if (a) in Trainer's sole judgment Dog is dangerous to Trainer or any other person or animal, or interferes with the training of other dogs, or (b) Client breaches any term or condition of this Agreement. Upon termination in accordance with the foregoing, Trainer's duties shall terminate but all other provisions of this Agreement shall continue in full force and effect.

I represent that I have read this Release before signing it and understand its provisions. I affirm and warrant that I have reached the age of majority and have full authority to make the grants herein contained.
My typed NAME below represents my electronic signature in agreement with the statements and information presented in this application:
Date of Signature
Email Collection *
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