Forms

Name*

First NameLast Name

Email*

example@example.com

Which B&T Program are you interested in?*

Why do you feel a board and train would be best for you and your dog?*

Most important behavior you would like to correct? Goals you would like to accomplish?*

Cell Number*

Area CodePhone Number

Home Number

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How did you hear about us?

PLEASE ANSWER ALL QUESTIONS COMPLETELY

Dog's name? Sex?Age? Breed? Neuutered or spayed?*

What age did you get your dog? Where did you acquire your dog?*

Who is authorized to pick up the dog?*

List name of emergency contact and phone number*

List Vets name, address and phone number*

Type of food? How often do you feed? Amount of servings per meal?

Does your dog have allergies? If yes please list. Is your dog on any medications? List name and dosage.*

Does your dog have separation anxiety? If so, in what situation?*

Does your dog have fear of thunderstorms, fireworks?

What commands does your dog understand?*

Has your dog had training? If so, when and where?*

Has your dog been in a fight? If yes, explain?*

Does your dog bark, growl or lunge at other dogs, humans or children? If yes, please explain when and what circumstance.*

Has your dog bit another dog, human or child? If yes, please explain when and what circumstance*

Do you need to muzzle your dog?

Can you groom your dog or touch their nails?*

YesNoSomewhat

Does your dog allow you to put on or take off collar without growling?*

YesNo

Does your dog know how to walk on a leash properly? Type of collar and leash used?*

Is your dog crate-trained? Will your dog go into a crate? Where does dog sleep?*

How does your dog react to touching or petting? Any places on the dog that are sensitive?*

Does your dog become aggressive when approaching it's food or other items? *

Does your dog growl or try to bite when taking it's toy or bone away?*

Does your dog have accidents in the crate or house? If so please explain.*

Does your dog have high prey drive? Has your dog been exposed to cats, if so reaction?*

Has your dog ever killed or injured a small animal?*

How does your dog get along with other dogs? How well has it been socialized?*

Please list undesired behaviors *

Upload your dog's vaccination record. If cannot scan I will get a copy from you at out signing.

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WAIVERS ******General Policy******

1. DePaul K9 Academy will endeavor to create as safe environment as possible for the training/boarding care of the dog(s) identified as (the dog), and will offer a safe, sound and responsible training, care and post-boarding training instructions.
2. Owner agrees, however, that all animals may exhibit unpredictable behaviors and that DePaul K9 Academy will not be liable for the actions of the dog that are outside the control of DePaul K9 Academy training.
3. Owner agrees that the recommendation by DePaul K9 Academy training of any product or service is NOT a guarantee of performance or Owner's satisfaction with that product or service. Owner(s)understands the training is not guaranteed when not in the prescence of DePaul K9 Academy Training. The follow-up and instruction must be done daily by the owner to ensure the re-inforcement of the work and techniques used to train the dog when dog was with trainer. Owner undertsands fully the dog may revert back to old behaviors, if owners do not change the energy and behaviors of themselves at home.
4. DePaul K9 Academy agrees to indemnify and hold Owner harmless from and against any claims of injury, expense, costs, loss of damages caused by the gross negligence or willful misconduct of DePaul K9 Academy training while the dog is in sole custody, care and control of DePaul K9 Academy training.
5. Owner fully understands the tools and techniques used to train/modify the behavior of their dog and agrees to the tools/ techniques which include leash, prong collar, bark collar, remote training collar, slip lead, Pet Convincer, muzzles, flat buckle collar, gentle lead, martingale collar.

**** Board and Train payment and cancellation Policy****

Payment Policy: Payment of 50% to be paid at time of booking your board and train program. Balance due when drop off dog.

1.If we have scheduled you for a one, two or three week board and train and you fail to notify us within 2 weeks of your scheduled board and train NO REFUNDS are issued. We work by appointment only. If there is an unforseen circumstance a partial refund may be refunded at the discretion of the trainer.(Cancellation Fee $75.00)

2. If the client chooses NOT to continue training after receiving approximately 50% of services, a refund WILL NOT be issued. If the trainer feels that the client will not listen to training advice, observes any harm given to the dog or will not follow instructions, Depaul K9 Academy can at sole discretion, choose to cancel the training contract and a partial refund will be discussed according to which program you were enrolled in.

AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK

I understand that attendance of a dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because of some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. Client understands a muzzle may be needed to prevent possible bite, if dog is deemed to have any type aggression problem or bite history.

I hereby waive and release Carol DePaul, DePaul K9 Academy hereinafter referred to as the "Training Organization", its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.

Photos/Video Release (All Clients)

I hereby assign, grant and authorize DePaul K9 Academy the right and permission to use, reproduce and distribute, sale, copyright, exhibit, broadcast and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representations(s) and/or sound recording(s) made of me and /or my dog(s) at any time during the training and/or boarding of my dog(s) by DePaul K9 Academy. I specifically waive any right to any compensation I may have for any of the foregoing.

By the clicking on the SUBMIT button you have, read and understand the terms and agreement stated in such contract and understand you are electronocally signig the contract.

Signature*

BOARD & TRAIN CONTRACT