Mighty Pet Dog Training Enrollment

Mighty Pet Dog Training Enrollment
Owner Information
Full Name*

First NameLast Name
Spouse's name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
How do you prefer to be contacted?
How did you hear about us?*
If other please state
How many adults live in the home?*
Are there children living in the same home as the dog?*
What are the ages of the children?*
Briefly state what you hope to accomplish with training :*
Dog Information
Dog's Name*
Breed*
Date of Birth or Age*
Color*
Gender*

MaleFemale
Has Your Dog Been:*

SpayedNeuteredNone of the Above
Veterinary Information
Veterinarian*
Vet Clinic
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your dog current on their rabies vaccination?*

YesNoToo youngNot sure
Is your dog current on their distemper/parvo vaccination?*

YesNoNot sure
Is your dog current on their bordetella (kennel cough) vaccination?*

YesNoNot sure
Is your dog currently on a flea/tick preventative?*

YesNo
Proof of current vaccination for rabies, distemper/parvo & bordetella from your veterinarian are required to participate in any training service at Mighty Pet. You can have your vet email proof of current vaccinations to www.mightypet.lodge or you can bring copies in ahead of time to our reception desk.Your dog must also be current on a flea preventive of your choice before starting training.
Your dog's proof of vaccination:*

Is already on file with Mighty PetMy veterinarian will be emailing it to Mighty PetI will be bringing in a hard copy before my class or appointment
Please list any medical problems your dog has had:
Does your dog have any allergies? *
If yes please list them*
Behavior & Training Information
Describe any previous obedience training:
Has your dog ever done any of the following*

MouthedNippedBittenCaused an injury to a humanCaused an injury to an animalNone of the above
Has your dog ever been reported to animal control for biting?*

YesNo
Is anyone in your family afraid of your dog? if so, please describe:*
Please check any Mighty Pet training services that you are interested in:

Group Foundation Obedience ClassesRally Obedience ClassesCGC (Canine Good Citizen Prep Class)Nosework ClassPrivate Training at Mighty PetDay School (training while at Day Camp)In-Home TrainingDog Powered Sports WorkshopRally Fun TrialTherapy Dog Prep ClassI am not sure
Please read the Mighty Pet Release Policy and check to verify:*

For everyone’s safety, written proof of up to date Rabies, Distemper, Parvo and Bordetella vaccinations administered by a licensed veterinarian must be provided before a dog is allowed to attend training. The only exceptions are puppies under 16 weeks old enrolled in Puppy Class, who are only required to have their Distemper and Parvo vaccinations; and Remote Video Consultations where only proof of current Rabies vaccination is required.Dogs attending training at Mighty Pet are required to be current on flea prevention.For group training classes proof of vaccination and payment must be turned in to the Mighty Pet Reception Desk at least 7 days prior to the first class to qualify for early registration discounts.I understand that there are inherent risks associated with the presence of dogs in training. I assume full responsibility for my dog and myself. I understand and agree that Mighty Pet and its employees shall not be held liable for any injury or damage to any person, animal or property which results from the training or behavior of my pet. I further agree that Mighty Pet and its employees shall not be held liable for any costs or expenses incurred because of my pet’s participation in training, including injury, illness or escape.I understand that my participation in my dog’s training is vital to our success. I understand that my follow through will ultimately determine how my dog behaves in my presence. I agree to take an active role in my dog’s training at home and follow the recommendations given to me by my Mighty Pet trainer.I release the rights to all photographic material and personal information Mighty Pet may wish to release without obligation to me. Typically used for Social Media or Marketing of Dog Training Classes.I understand that 24 hours notice is required for all training cancelations. I further understand that canceling with less than 24 hours notice will result in a $12 cancelation charge.I understand that class costs and training packages are non-refundable and non-transferable.I understand that training packages are redeemable for 1 year from the date of purchase.Children under 18 years of age must attend class with a parent who will remain in the classroom
Signature*

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By Electronically Signing Above And Clicking The Submit Button Below You Agree To The Above Terms
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