Training Form

Name (please use original Applicant's name)

First NameLast Name

Email

example@example.com

Cell Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Adopted Dog's Name (please include their name both now and when adopted)

What training program are you interested in?

VirtualIn OfficeIn Home

What is the reason you wish to train? Select all that apply.

If you checked Basic Obedience above, what commands are you hoping to learn?

If you checked Solve a problem above, describe in detail the problem(s) you'd like to address.

Date of your last vet visit:

Name and Phone Number of your Vet:

*We may ask to speak to your Vet

If you've seen a change in your pup's behavior or new behaviors arising, has a medical checkup been performed?

YesNoN/A

How much and what types of exercise does your dog receive daily?

How do you socialize your current pup?

If you have worked with a Trainer previously, please list them here as well as the methods and results of their training.

By Signing Below, I agree to these terms, conditions and indemnification:

Husky Education And Rescue Team, Inc. ((H-E-A-R-T)), includes its Volunteers, Subcontractors, Employees, Directors and Board Members. The nature of animal training creates some risks for those who participate. By agreeing to train, you acknowledge you are fully aware of and assume the risks that dogs pose. You agree to indemnify and hold H-E-A-R-T harmless if anyone brings legal recourse against you or H-E-A-R-T because of something your animal does or doesn’t do.

The results of any H-E-A-R-T HELP training program solely rely on the willingness of the trainee as well as the repetition and practice that is done not only with the Trainer but outside of the Trainer's presence. H-E-A-R-T can make no guarantee as to what your dog can be trained to do or not to do. We believe in the use of positive training techniques. NO REFUNDS.

Signature

Date

H-E-A-R-T HELP Training Form