New Intake - Training

Your Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mailing Address, if different than above

Yes, I have a different mailing addressMy mailing address is the same as the above

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Were You Referred?*

YesNo

Who can we thank?

How did you learn about us?

Dog's Name*

Dog's Age & Date of Birth*

Breed (or dominant breeds if mixed)*

Dog's Sex*

Neutered MaleIntact MaleSpayed FemaleIntact Female

Emergency Contact*

Emergency Contact Phone*

Please enter a valid phone number.

Veterinarian Name*

Veterinarian Phone*

Please enter a valid phone number.

Vax Types*

RabiesDHPP/Da2PPBordatella

Rabies Vaccination Date*

Date

Rabies Next Due*

Date

DAPP/DHPP Vaccination Date*

Date

DAPP/DHPP Next Due*

Date

Bordetella Vaccination?*

YesNo

Heartworm Treatment?*

YesNo

Flea Treatment?*

YesNo

Please provide a copy of your vaccination form*

Is you dog on any medications or suffering from an illness or allergies?*

YesNo

Please describe..*

Has your dog had any athletic injuries such as pulled muscles or had to make an emergency trip to the vet in the last 6 months?*

YesNo

Please describe...*

Is your Dog Reactive to People?*

YesNo

Please describe the last two instances of their reactivity towards people

Is your Dog Reactive to other Dogs?*

YesNo

Please describe the last two instances of their reactivity towards other Dogs

Does your dog exhibit Guarding Behaviors?*

YesNo

Please describe the last two instances of guarding behaviors

Does your Dog exhibit leash reactivity?*

YesNo

Please describe the last two instances of leash reactivity

Does your dog show any additional behavioral issues that we need to be aware of? Select all that apply

Any additional behaviors not on this list?

Has your pet ever snapped or bitten a person or another dog?*

YesNo

Please describe.*

Troublesome habits your dog might struggle with (e.g. chews socks, scratches doors, counter-surfing)*

Please describe the behaviors you would like to work on*

Did you already work with a previous trainer on these behaviors?*

How do you react to these behaviors?*

Please name your training goals*

Cues / behaviors your dog already knows (e.g. sit, stay, heel, etc)*

What motivates your dog to train?*

Are you interested in training your dog yourself?*

Are you first time dog owner?*

How much time can you invest daily to train your dog (realistically)?*

What's your learning style?*

listeningreadinglearn by doing

What further questions do you have for us?*

Are you interested in nail clipping after training?*

YesNo

When were your dog's nails last trimmed?*

How often are they trimmed?*

MonthlyEvery Other MonthLonger than that

How does your dog feel about nail trimming?*

Is nervous but cooperativeMy dog is afraidMy dog might snap

Is your dog taking any medications or is your dog having any medical conditions like hemophilia that we need to be aware of?*

Off-leash Consent: I agree to allow Buddy to walk my dog off-leash in appropriate areas*

I agree

Photo Consent: I agree to allow Buddy to take photographs of my pet and to publish those photographs on Buddy's website, social media accounts and promotional materials, either digital or printing. I also give permission to use my dog's name.*

I agree

Cancellation Policy  
House Sitting & Train Boarding—2 weeks prior

Dog Boarding—1 week prior
Buddy charges 50% of the service price if cancellation occurs outside the above timelines.

Training & Exercise Groups & other services—24 hours prior to the service
Buddy charges 100% of the service price if cancellation occurs outside the above timelines. 

Payment 
Train Boarding, Boarding & Day Care—Payment due one week prior to service

Exercise and Training—Payment due within one week of service

Precise due dates communicated on invoice. Dog Owner agrees to reimburse Buddy for reasonable expenses incurred arising from/relating to dog care.

Emergencies
If there is an emergency, Buddy will make all reasonable efforts to first contact Dog Owner. If Dog Owner is unreachable, Buddy shall contact the following individual(s) and/or veterinarian. In addition, Dog Owner authorizes Buddy to seek and obtain medical attention and treatment as deemed necessary by a veterinarian.

Injury and Hold Harmless Agreement

Dog Owner shall indemnify and hold harmless Lilith Erlenbusch and Buddy Dog Training and Care and its owners, employees, contractors and agents, hereinafter referred to as “Dog Sitter,” from and against any and all liability, or damages or any expenses whatsoever, as a result of any claims, demands, damages, costs or judgments that may arise in connection with or as a result of any act of Dog Owner’s dog(s), unless such liability, losses, damages, costs or judgments are due directly to the intentional misconduct of Dog Sitter.

Dog Owner shall indemnify and hold harmless Dog Sitter from and against any and all liability, losses or damages or any expenses whatsoever, as a result of any claims, demands, damages, costs or judgments, including claims, demands, damages, costs or judgments based on Dog Sitter’s own negligence, that may arise in connection with or as a result of Dog Owner’s dog(s) biting or injuring Dog Sitter or any person or animal.

Dog Owner shall defend Dog Sitter from and against any and all claims, demands, damages, costs or judgments, including claims, demands, damages, costs or judgments, based on Dog Sitter’s own negligence that may arise in connection with or as a result of Dog Owner’s dog(s) biting or injuring Dog Sitter or any person or animal.

If Dog Owner’s dog(s) becomes ill, is injured or lost or accidentally dies, Dog Owner expressly agrees to hold Dog Sitter harmless and waives and releases Dog Sitter from any and all claims and liability, losses and expenses whatsoever arising from any such incident.

I hereby agree that I have read and understand this Agreement.

Dog Owner (print name):*

Dog Owner's Signature*

Today's Date*

Date

Please verify that you are human*

After clicking Continue and signing the form, you'll be directed to book your evaluation. You will also receive a confirmation email with a the same link to book your evaluation. We look forward to working with you!

New Intake - Training

Your Dog's Info

Vaccinations

Your Dog's Pertinent Medical History

Behavior / Training

Your training background

Dog Care Services Agreement