Puppy/Dog Training Application

Owner Information

Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Phone Number

E-mail*

How Did You Hear About Us?

Briefly State What You Hope To Accomplish In This Class:

Dog Information

Dog's Name*

Breed*

Age*

How Old Was The Dog When You Acquired It?

Gender*

MaleFemale

How Long Have You Owned The Dog?

Has Your Dog Been:

SpayedNeuteredNone of the Above

Where Did You Acquire Your Dog?

Where Does Your Dog Sleep At Night?

How hard does your dog bite?

Is Your Dog House Trained?

Behavior Problems Of Parents Or Littermates, if Known?

Veterinary Information

Veterinarian

Vet Clinic

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Is Your Dog Current On All Vaccinations Including Rabies?*

YesNo

Vaccination Dates:

Rabies:

DHLP:

Please List Any Medical Problems Your Dog Has Had:

Behavior Information

Describe Any Previous Obedience Training:

Level Of Success?

What Commands Currently Work Best?

What Language Do You Use With Your Commands?

Who does your dog bite more?

Which Member Of The Family Has The Best Control?

Does Your Dog Know How To Walk On A Leash?

YesNo

Tell Me About Any Correction Techniques You Have Used And Their Effect On Your Dog’s Behavior:

Behavior Problems:

Describe Unwanted Behavior In Greater Detail:

Do You Use A Crate?

YesNo

Does Your Dog Like The Crate?

YesNo

Please Give Additional Information Regarding Fear Or Anxiety In Your Dog:

Has Your Dog Ever Bitten A Person?

YesNo

Training classes are designed to train your dog to do what you want them to, without harming them and in a safe and effective manner.

We use several training methods including but not limited to classical conditioning, counter conditioning, systematic desensitization.

VETTING

Your signature below indicates your permission for Crawford's K9 Academy LLC or one of our affiliates to verify the information provided above, including shot records and any vet history.

NO REFUNDS - NO CLASS CHANGES

Although we do not offer refunds on training classes or packages we are dedicated to helping you train your dog.

If you are unhappy with the training or results please contact us immediately.

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.

I hereby waive and release CRAWFORDS K-9 ACADEMY LLC, 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.

By Clicking The Submit Button You Agree To The Above Terms

Date

Signature*