Successful Tails Board & Train Contract

Board & Train

Service Contract
Client Information
Owner's Name*

First NameLast Name
Referred By
Phone Number*
Please enter a valid phone number.
Do you consent to receive communication via text message?*

YesNo
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Information
Owner's travel location
Contact information for travel (if different than above)
Emergency Contact's Name*

First NameLast Name
Emergency Phone Number*
Alternate Emergency Phone Number
Please enter a valid phone number.
Vet Clinic/Vet's Name*
Vet's Phone Number
Please enter a valid phone number.
May we share your training & behavior report with your veterinarian?*

YesNo
Dog 1 Information
Dog's Name*
Breed*
Age*
Gender

MaleFemale
Is dog spayed/neutered?

YesNo
Health Instructions

*Please provide a copy of current veterinary records and vaccinations upon drop-off*
Important Medical History Notes for either dog
Medication and Reason and Dog's Name (1)
Amount/Times of Day Given (1)
Medication and Reason and and Dog's Name (2)
Amount/Times of Day Given (2)
Modes of Exercise
Exercise Frequency & Duration
Additional Health Care Notes
Feeding Instructions
Dog's Regular Food Name/Supplements*
Amount per feeding/Time of Day
Regular Treats
Are other treats ok?*

YesNo
Any allergies or dietary restrictions?*

YesNo
Details about Allergies/Dietary Restrictions*
Behavioral Instructions
Known Behavioral Issues
Known Bite History
Special Instructions or Notes Regarding Behavioral Issues
Will a second dog be boarding?*

YesNo
Dog 2 Information
Dog's Name*
Breed*
Age*
Gender

MaleFemale
Is dog spayed/neutered?

YesNo
Health Instructions

*Please provide a copy of current veterinary records and vaccinations upon drop-off*
Important Medical History Notes for either dog
Medication and Reason and Dog's Name (1)
Amount/Times of Day Given (1)
Medication and Reason and and Dog's Name (2)
Amount/Times of Day Given (2)
Modes of Exercise
Exercise Frequency & Duration
Additional Health Care Notes
Feeding Instructions
Dog's Regular Food Name/Supplements*
Amount per feeding/Time of Day
Regular Treats
Are other treats ok?*

YesNo
Any allergies or dietary restrictions?*

YesNo
Details about Allergies/Dietary Restrictions*
Behavioral Instructions
Known Behavioral Issues
Known Bite History
Special Instructions or Notes Regarding Behavioral Issues
Description of Services & Payment
Dog's Arrival Date & Time
Dog's Departure Date & Time
Number of Resulting Days
Use digits 0-9 only
Total Amount Due ($100 per day)
Form of Payment*

CashCheckCredit Card (add 3.5% charge)
Please make your payment here

www.successfultails.com/payment - select Board & Train
Name of Person Responsible for Payment*

First NameLast Name
Payment Options*

Pay in Full with a single paymentPayment Plan with four payments
I understand that by agreeing to a payment plan, I have committed to the full length of the training program as stated in the Description of Services above. I understand that I am responsible for making timely payment in full regardless of whether I choose to complete the training program. If any payments are not timely made, Successful Tails, LLC is not obligated to provide further services.

Agreed
Liability Waiver & Policies
Successful Tails, LLC will endeavor to create as safe an environment as possible for the training of my dog(s) and will offer only sound, safe, and responsible training and instructions. However, to the extent that Successful Tails, LLC is insured for any unintentional or negligent errors, omissions, or incorrect assertions, Successful Tails, LLC will be responsible for any such acts or omissions, but only to the extent of such insurance. I have been told by Successful Tails, LLC and understand the inherent risks of owning a dog, including but not limited to the risk of dog bites to myself or others. I represent and warrant that I have provided Successful Tails, LLC with full and complete, accurate information regarding any bite history and similar incidents or hazardous tendencies of my dog, and that I will update that information if it changes. I understand that I am and will remain responsible for the actions of my dog at all times, and I hereby agree to indemnify, release, and hold harmless Successful Tails, LLC of any and all claims, whether made by myself or any third party, of injury, expense, costs, or damages caused by my dog. Successful Tails, LLC does not assume and shall not be held responsible for any liability with respect to the dog listed in this agreement, of any kind, character, or nature whatsoever, arising out of or from the boarding of my dog, or any damages which may accrue from any other cause whatsoever, including injury or illness, loss by fire, theft, running away, injury to persons, animals or property, unavoidable causes, or death or injury to any other animal caused by my dog during the term of this contract, whether this dog be on the premises of Successful Tails, LLC or not. I hereby agree to be, and am solely responsible for, any and all acts of behavior of my dog at any time within the term and time for the contract. In no case shall Successful Tails, LLC be in any way liable or responsible. I understand that the recommendation of any product or service is not a guarantee of my satisfaction with that product or service. This contract, together with language expressly incorporated into it in writing, is the full and complete agreement between myself and Successful Tails, LLC. A complete and accurate copy of this contract is as valid as the original. This contract is made valid by in-person signatures, electronically signed signatures, or upon receipt of a signed, scanned copy by email.*

Agree
Public Training Policy: I authorize Successful Tails, LLC to take my dog into public spaces during his/her stay for the purpose of training my dog, with locations to be determined by the trainer.*

Agree
Emergency Policy: I authorize emergency medical care to be provided for my dog(s) by the above-named veterinarian, or an appropriate alternate to be determined by Successful Tails, LLC in the event that my regular veterinarian is not available or that closer care is required. I will immediately reimburse Successful Tails, LLC for any charges related to vet care, including office fees, procedures, medications, surgeries, etc. Select one:*

I DO authorize Successful Tails, LLC to administer or seek first aid and resuscitative care for my dog(s) as determined appropriate by Successful Tails, LLC and I agree to indemnify, release, and hold harmless Successful Tails, LLC for all and any results thereof.I DO NOT authorize Successful Tails, LLC to administer or seek first aid and resuscitative care for my dog(s)as determined appropriate by Successful Tails, LLC and I agree to indemnify, release, and hold harmless Successful Tails, LLC for all and any results thereof.
Service Policy: Successful Tails uses positive reinforcement training techniques and finds the use of equipment such as prong and electronic collars as inappropriate. Specific training methods and incentives depend on the motivation of the dog and the goals to be achieved in the dog's training.*

Agree
Payment Policy: I will pay in full or by payment plan, the agreed upon amount stated above. If I am delayed in picking up my dog by the stated departure date, I acknowledge that I will be charged the regular daily rate, plus an additional 25% per day beyond the stated departure date.*

Agree
Cancellation Policy: If I need to cancel or reschedule a training time, I will notify Successful Tails as soon as possible in order to prevent disruption of the organization’s programs.*

Agree
Safety Policy: I acknowledge that dogs will be on-leash, enclosed by a fence or otherwise managed in a safe area at all times while in the care of Successful Tails. Management methods such as crate training and tethering may be utilized, based on the age and experience of the dog in training.*

Agree
Confirmation

This contract is validated by the signatures below in total and as approval for future services without additional written authorization.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Board & Train

Client Information

Emergency Information

Dog 1 Information

Health Instructions

Feeding Instructions

Behavioral Instructions

Dog 2 Information

Health Instructions

Feeding Instructions

Behavioral Instructions

Description of Services & Payment

Please make your payment here

Liability Waiver & Policies