Hello RCRD Club Members!
Students: You will need to fill out this form prior to joining your first group, or, after a significant break. IF ANYTHING NEW HAPPENS, please let us know by email as soon as possible. Please fill out as accurately as as you can, someone will get back to you in 1 business day :-)

This waiver acts as part of our screening processes which assures we are accepting clients that can safely participate in person once the COVID-19 crisis subsides. Every participant is required to complete at least one private training session with Mindful Mutts prior to joining at our professional rates. Once we receive this form you will be contacted to schedule this session! All RCRD Club gatherings via zoom are held every other Sunday morning, and are currently FREE of charge! Once quarantine is lifted and we are all safe and able to meet in person for practicing skills we will be requiring a donation of a min. $10 to the New Westminster Animal Shelter.

By filling out and submitting this form you understand that there are no refunds or credits, ALL training is non-transferable.

*Royal City Reactive Dog Club is held by Mindful Mutts. We reserve the right to decline registrations or make mandatory one private session with a science-based traiber prior to group. Instructions for attending will be very specific and MUST be adhered to at all times for everyone's safety (humans, doggos, community.)

Thank you for your cooperation!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Dog's Name *
Email *
Phone number *
FULL Home Address *
Breed *
Age/Sex *
Veterinarian info *
Is your dog spayed/neutured? If not, please let us know why and when the surgery is scheduled for if you know. *
Medical History: Please verify that your dog's vaccinations are up to date....check all that apply and note in the "other" section any notes pertaining to why not (if applicable). By doing so you guarantee your dog is protected against various common illnesses and diseases and that you are not putting your dog or others at risk. You release all liability from Mindful Mutts and its affiliates. *
Can you dog perform the following? (check all that apply) *
What other skills (even tricks) can your dog do? *
Has your dog ever bitten... (please be descriptive of the situation in "other") *
Has your dog ever been attacked? (please describe the situation in full in "other") *
Have you done any previous training classes? If so, please list the company/trainer: *
Are you familiar with positive, reward-based training? *
Tell us with as much detail as you can what you are struggling with: *
Do you understand & ACCEPT that we are Fear Free, Science and Reward Based Trainers. We do not use dominance, force, flooding, or corrections. We are not Alpha, nor Pack Leaders. *This may not be the right fit you if you believe in non-science based training. *
While attending group, if we feel your dog is not coping well, or the public is at risk, you will be instructed to leave and to follow up with the trainer. *
The trainer may further refer you to a Veterinary Behaviourist to consult with you and your veterinarian via email. This may mean pausing Reactive Dog Club participation temporarily or suspending altogether. *
You will be required to bring with you to class the following items (mandatory): Dog will be on well fitted front clip harness, 6 ft leash (no retractables), treat pouch, VERY HIGH VALUE FOOD (prepared into small piece before class- cheese, sausage, cooked chicken, tuna fudge, hot dogs etc), a toy attached to a 6 foot line (not thin string, not heavy rope, a puppy leash is great! ) If you have any questions or need to purchase an item prior to class, please email info@mindfulmutts.ca and we will arrange item/payment prior to class. *
If you have a gift certificate, please enter the gift certificate number below. Physical copy of GC MUST be brought with you and handed in at the start of class. Expired certificates will require payment in order to participate. *
By clicking "I agree" you release Mindful Mutts and all affiliated with these companies from any and all liability including but not limited to: illnesses or injuries inflicted by dogs/owners to other dogs/owners. You also agree that any damage to property, dogs, or humans by result of your own dog (or yourself) will result in immediate removal of the class (no refunds or credits) and that you will be responsible for costs associated with medical bills or fixing property damage. You release Mindful Mutts of any harm or liability in the event of illness or injury regardless of whether a person or pet has been afflicted. *
By clicking "I agree" you verify that you are who you say you are, that you are not a robot, and that you agree to all terms and conditions listed above, including what is listed at the top of this form. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mindful Mutts- Dog Training and Daycare. Report Abuse