Evaluation & Testing Agreement and Liability Waiver
This form must be completed before a dog participates in evaluation or testing with Kisha's Kommands LLC. The owner/handler must remain present for the entire evaluation or test.
Client Name
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First Name
Last Name
Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Dog's Name
*
Breed
*
Type of Evaluation/Test
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Training / Skills Evaluation
Behavioral / Temperament Evaluation
Service Dog Evaluation
Service Dog Public Access Test
Other
If Other, please specify
What would you like evaluated or tested?
*
Has your dog ever bitten or attempted to bite a person or another animal?
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Yes
No
If yes, please explain
Does your dog currently have any behavior that could affect safety during the evaluation or test?
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Yes
No
If yes, please explain
Does your dog currently have an illness, injury, physical limitation, medication, or veterinary restriction that could affect participation?
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Yes
No
If yes, please explain
Client Acknowledgment
VACCINATION CONFIRMATION: I certify that my dog's vaccinations appropriate for the dog's age are current and up to date.Dogs showing signs of potentially contagious illness should not attend an evaluation or test.
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I agree
ARRIVAL AND PARKING SAFETY: I agree to park in the designated rock/gravel area without blocking the driveway, make every effort to keep my vehicle off the grass, and not drive or pull through the yard. My dog and I will remain inside my vehicle until a Kisha's Kommands LLC Trainer instructs us to exit. I will notify my Trainer when I arrive and wait for confirmation before exiting, even if training area appears clear.
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I agree
EVALUATION AND TESTING TERMS: I must remain present and responsible for my dog throughout the evaluation or testing unless specifically instructed otherwise by the Trainer/Evaluator. An evaluation or test reflects my dog's behavior and performance at the time and under the conditions evaluated. It does not guarantee future behavior, temperament, reliability, safety, trainability, or performance. The Trainer/Evaluator may modify, pause, discontinue, or decline testing if my dog demonstrates aggression, excessive stress, illness, injury, unsafe behavior, or another condition that makes continuing inappropriate.
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I agree
SERVICE DOG AND PUBLIC ACCESS TESTING: If applicable , I understand that a service dog evaluation, task evaluation, or public access test evaluates my dog's performance according to the standards being assessed at that time. A passing result is not a government-issued certification, license, registration, guarantee of legal status, or lifetime guarantee of my dog's behavior or performance. I remain responsible for complying with applicable service-animal laws and maintaining my dog's training and appropriate behavior.
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I agree
ASSUMPTION OF RISK & LIABILITY: I understand that working with dogs involves inherent and unpredictable risks, including bites, scratches, falls, pulling injuries,interactions with animals, property damage, escape, equipment failure, illness, injury, and other accidents. I voluntarily assume the inherent risks associated with my participation and my dog's participation. I remain responsible for my dog’s behavior and actions and agree to follow Trainer safety and handling instructions. To the fullest extent permitted by applicable law, I release and agree to hold harmless Kisha's Kommands LLC, its owners, trainers, employees, agents, and representatives from claims, losses, damages, expenses, or liability arising from the inherent risks of the service or my dog's actions, including injury, escape, or property damage, except to the extent caused by conduct for which liability cannot legally be waived. This waiver applies whether services are provided at Kisha’s Kommands LLC’s primary training location or an approved secondary, public, private, or third-party location. Nothing in this Agreement is intended to waive or limit any right or liability that cannot legally be waived under applicable law.
*
I have read, understand, and agree
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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