New Client Training Enrollment Form

Private Lessons Enrollment Form

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About You

Your Name*

First Last

Are you a new or current client?

New client

Current client

Preferred Method of Contact*

Your Email Address*

Email Address Confirm Email Address

Best phone number to reach you*

Is there anyone else who will be involved in your dog's training?*

Yes

Would you like them to be included in email updates and other communications?

Yes

Additional Contact Name

First Last

Additional Contact Email

Pet Information

How many dogs will be attending training?

Dog's Name*

Dog's Sex*

Dog's Breed*

Dog's Age*

Dog's Approximate Weight*

Dog 2 Name*

Dog 2 Sex*

Dog 2 Breed*

Dog 2 Age*

Dog 2 Approximate Weight*

Have you completed prior training with your dog(s)?*

Private Lessons

Board and Train

Classes

*Please check all that apply

Briefly describe the training, equipment used, how long ago, and the results. If you feel comfortable doing so, please share the name of the trainer or facility.

Which commands does your dog currently know?

Has your dog ever bitten a human?*

Has your dog ever bitten a dog?*

If yes to any of the above, please describe incident(s) and whether there is something in your dog's medical history that may be pertinent..*

If there is a bite history, Is the onset of the aggressive behavior new or sudden?*

Yes

Is your dog muzzle conditioned?*

Yes

Has your dog ever been excused from a Daycare or playgroup?*

Yes

If yes, please describe the circumstances and the reason the Daycare gave for excusing your dog. If comfortable, please provide the name of the daycare.

Please detail any other important information or history that will help your trainer prepare for your program.*

What are your top three training goals for your dog.*

Please provide specifics about your training goals:*

History With Your Dog

Please answer as completely as possible so that your Trainer has a full understanding how to approach your dog’s training.

How long have you owned your dog?*

Where did you acquire your dog? (breeder, shelter, etc.)*

How many people are living in the house where your dog resides?*

If there are children in the home, please list their ages

Does your dog currently interact with children?*

Yes

No, but I would like them to in the future.

Is your dog crate trained?*

Yes

How many hours is your dog left alone or crated each day?*

Is your dog allowed on the furniture?*

Yes

Where does your dog sleep at night?*

What is a typical schedule or routine for your household and your dog?*

Are there any other pets in the home?*

Yes

What kinds of pets and how does your dog interact with them?

What do you do when your dog does something that you don't like?*

Do you play games with your dog (fetch, tug, etc.)?*

Yes

Which games and how does your dog behave when you play?

How often do you play?*

What equipment do you use to walk your dog? (Check all that apply)*

Flat collar

Prong or other pinch style collar

Choke (chain) collar

Harness

Martingale collar

Halti or similar

Slip Lead

None of the above

How do you exercise your dog? (i.e. walks, runnning, swimming, agility, etc.)*

How often do you walk your dog, and for how long per walk?

How does your dog behave on a walk? (Check all that apply)*

Walks politely by my side

Pulls ahead or away but not fully out of control

Generally hard to control – the dog walks me!

Reactive towards other dogs-barking, lunging, etc.

Reactive towards people – barking, lunging, etc.

Timid/ fearful of noises, cars, etc.

Where do you typically walk? (i.e. city street, park, rural area, etc.)*

How do you provide mental exercise for your dog? (i.e. puzzles, scent-work, etc.)*

How is your dog at the vet?*

Is your dog comfortable with body handling for grooming, batching, nail trims, etc?*

Yes

How does your dog react to the type of body handling mentioned above?

Vaccinations

Rabies, Kennel Cough/Bordatella, and DHPP are required to participate in any activities at K9 Connection. I understand that I must provide up-to-date vaccine records prior to starting my dog's Board and Train program. I also understand that if I do not provide proof of required vaccination by the time my dog's program begins, I will not be allowed to leave my dog at K9 Connection and the start of my program will be rescheduled to the next earliest available date.*

I understand

Vaccination Records Upload (Rabies, Kennel Cough/Bordetella, and DHPP are required)*

Drop files here or

Max. file size: 2 GB.

Veterinary Clinic Name and Phone Number

Agreements

Training Agreement and Liability Release*

LIABILITY RELEASE AND TRAINING AGREEMENT

1. I agree that I have hired K9 Connection, as training professionals, to determine which tools and methods are necessary to help train my dog. I understand that I will obtain the best results by following the instructions of K9 Connection trainer(s). I further understand that I am solely responsible for my dog’s training and ongoing behavior.

2. I understand that all dogs are unique and that there are no warranties or guarantees that any training program will completely or permanently change or improve my dog’s behavior. I understand that I must actively participate in my dog’s training and complete all recommended off-site work. I further understand that after my training program ends, it is my responsibility to continue using the methods and skills taught in order to maintain any improvements achieved.

3. I certify that my dog is in good health; free from fleas, ticks, heartworms, and other parasites; and has received all required vaccinations, including canine distemper, parvovirus, hepatitis, parainfluenza, Bordetella, and rabies. I agree to promptly notify K9 Connection of any signs of illness or infection.

4. In the event my dog requires emergency veterinary treatment while boarding or participating in a Board and Train program, I authorize K9 Connection, in its sole discretion, to transport my dog to an appropriate veterinary facility and to attempt to contact me immediately. I assume full financial responsibility for all veterinary care.

5. K9 Connection strives to maintain a clean and sanitary environment; however, I understand that even in the cleanest environments, infections, diseases, and parasites may be transmitted between animals.

6. I understand and agree that dogs attending Board and Train, Day Training, or Enrichment Daycare may be placed in a kennel or other housing for periods of rest and downtime during the day and/or night.

7. I understand that dogs are animals and that even in controlled and well-supervised environments, inappropriate behaviors may occur, including rough play, nipping, aggression, or biting. I understand that while K9 Connection staff closely supervises dog interactions, minor injuries such as nicks or scratches may occur. I further agree that K9 Connection may use reasonable behavioral corrections to interrupt inappropriate behavior, including but not limited to spray bottles of water or compressed air.

8. I understand that my account must be paid in full prior to or at the first training session and that there will be no refunds. K9 Connection reserves the right to change rates at any time.

9. I understand that any unused training sessions or remaining balances expire one (1) year from the date of purchase.

10. I understand that in order to receive a refund of my deposit, I must cancel at least fourteen (14) days prior to the start of my program. Cancellations or rescheduling within fourteen days will result in the deposit becoming non-refundable and non-transferable. Refunds will be issued to the original form of payment. To cancel or reschedule, I must contact the office directly.

11. I understand that cancellation or rescheduling of an individual appointment requires at least twenty-four (24) hours’ notice. Failure to provide proper notice will result in forfeiture of that session.

12. I am responsible for reading and understanding all literature provided by K9 Connection or by manufacturers of any training products used.

13. I agree that training collars will not be left on my dog overnight or while my dog is unattended.

14. I understand that missed group classes may not be made up without express written consent from management. Group class membership weeks run from Monday through Sunday. Fees are based on an average number of classes per month and may account for holidays, seminars, or closures. K9 Connection reserves the right to remove any participant from group classes at its sole discretion.

15. I understand that while K9 Connection has experience working with aggressive dogs, there is no guarantee that aggressive behavior will be eliminated. If my dog has exhibited or continues to exhibit aggression toward people or other dogs, I agree that it is my responsibility to manage my dog safely at all times, including use of a muzzle and avoidance of high-risk situations, not limited to training sessions.

16. I agree that if my dog engages in aggression toward a person or another dog during training, K9 Connection staff may, in their sole discretion, use reasonable physical force to interrupt and stop the behavior. I agree that I am solely responsible, financially and otherwise, for any injury, damage, or loss caused by my dog to persons, animals, or property.

17. I grant permission for K9 Connection to photograph and/or videotape my dog for use in print, digital media, or promotional materials.

ACKNOWLEDGMENT OF RISK

I understand that participation in K9 Connection dog training, daycare, or boarding involves inherent and unavoidable risks to myself, my dog(s), third parties, and the dog(s) of third parties. These risks include, but are not limited to, property damage, personal injury, dog bites, scratches, illness, infectious disease, parasites, or death. I voluntarily assume all such inherent risks with full knowledge that unforeseen risks may also exist.

ASSUMPTION OF RISK

I acknowledge that I have been informed of the risks associated with dog training, daycare, and boarding, including the unpredictable behavior of animals, and I voluntarily assume full responsibility for my dog’s participation in these activities.

RELEASE OF LIABILITY AND INDEMNIFICATION

In consideration for my dog’s participation in K9 Connection dog training, daycare, or boarding, I hereby release, waive, discharge, and hold harmless K9 Connection, its owners, employees, agents, officers, and volunteers from any and all claims, liabilities, damages, including personal injury, wrongful death, property damage, or other causes of action arising from my dog’s participation.

I understand and expressly agree that this release includes claims based on the ordinary negligence of K9 Connection, its owners, employees, agents, officers, and volunteers.

This release does not apply to claims arising from gross negligence, recklessness, or willful misconduct, to the extent such claims cannot be waived under New York law.

I further agree to defend, indemnify, and hold harmless K9 Connection from any and all claims, demands, damages, losses, liabilities, costs, and expenses, including reasonable attorney’s fees, arising out of or related to my dog’s actions or participation, including claims brought by third parties.

SEVERABILITY

If any provision of this Agreement is found to be invalid or unenforceable under New York law, the remaining provisions shall remain in full force and effect.

GOVERNING LAW AND VENUE

This Agreement shall be governed by and construed in accordance with the laws of the State of New York. Any legal action arising out of or relating to this Agreement shall be brought exclusively in a court of competent jurisdiction within the State of New York.

WAIVER OF JURY TRIAL

I knowingly and voluntarily waive my right to a trial by jury in any action arising out of or relating to this Agreement or my dog’s participation.

By typing your name below, you are acknowledging that you have carefully read this Liability Release and Training Agreement and understand its contents.*

First Last

Date*