Registration Form for Training Classes:

Transcription

1 Registration Form for Training Classes: Please sign and complete the form below. Registration form and proof of vaccines* are required by the start of the first class. They can be scanned and ed or printed and mailed to us. What Class are your registering for? Class start date: Name: Dogs name: Mobile number: address: Address: Dogs date of birth: day/month/year: Breed: Male Female Neutered/Spayed: Yes No If no, are your planning on it? Any food allergies or restrictions (Describe in detail): If children will be attending please provide names and ages: Where did you get your dog? How long have you had him/her? What food is your dog on? Any previous training (list)? What are your goals for this class?

2 Vaccinations* *Life is Dog follows the American Veterinary Society of Animal Behavior s position statement on puppy socialization: In general, puppies can start puppy socialization classes as early as 7-8 weeks of age. Puppies should receive a minimum of one set of vaccines at least 7 days prior to the first class and a first deworming. They should be kept up-to-date on vaccines throughout the class. Please refer to the AVSAB website at for full statement. Date of last Distemper: Rabies: Veterinarian or Vet Hospital: Vet Phone Number: Payment for class can be made by cash, check,or credit card most accepted: Check enclosed OR credit card Amount to pay: Credit card # Expiration date CCID: Name on Card: Cancellation Policy: Once the class has begun, payment is non-refundable. Classes missed may be made up by attending a different class per the recommendation of your trainer. Please note that the first class is mandatory to attend. Waiver: I understand that attending a dog training class is not without risk to myself, my dog, or members of my family and/ or guests who may attend with me because despite all the dogs appearing healthy and being handled with the greatest amount of care and foresight, some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury. I hereby waive and release Life is Dog, Inc, its employees, instructors and agents from any and all liability of any nature, for injury or damage which myself or my dog may suffer, including specifically, but not limited to, any injury or damage resulting from the action of any dog, including my own and I expressly assume the risk of any such damage or injury while attending any training session and while on the grounds of Life is Dog, Inc. I have read and fully understand this Agreement: Signature: Date:

3 Class Preparedness, Policies, and Waiver What you should bring and what to do? CLASS RULES: Please come to class on time, with the required training equipment. TRAINING EQUIPMENT: (we sell a starter set of Bait bag, long line, EZ walk harness and included clicker) BAIT BAG/TREAT POUCH Treats, lots of pea sized super small morsels must be of really great value to the dog (boiled chicken breast, hots dogs, cheese are examples) A favorite small toy or chew to distract and keep him busy in between lessons Flat collar, buckle or martingale collar and or harness or head halter No pinch, choke or electronic collars 4 to six foot leash (No flexi-leads please) Clicker (will be provided to you at orientation) Towel or matt for your dog to lie on A COPY WE CAN KEEP OF YOUR PUPS CURRENT VACCINATION HISTORY BY THE FIRST CLASS. WE LOVE PARTICIPATION SO FOR THE SAFETY OF EVERYONE, CHILDREN UNDER THE AGE OF EIGHT WILL RE- QUIRE AN ADDITIONAL ADULT TO BE RESPONSIBLE FOR SUPERVISION. TO PROTECT THE SAFETY OF EVERY- ONE IN CLASS, CANINES AND HUMANS ALIKE, PLEASE FOLLOW THE BELOW GUIDELINES: Children must be under parental control at all times. Parents must supervise their children during the entire class. No running or yelling will be permitted. Since not all dogs are comfortable around or friendly toward children, children should be instructed to never approach or pet any other dog in class. Life is Dog, Inc Refund/Cancellation Policy: Please consider your schedule carefully as no refunds will be given after the start of class. You may be rescheduled into another class within 6 months. When cancellations occur, due to weather or unforeseen emergencies, an additional class session will be added when possible. If you miss a session, please contact us as soon as possible to schedule a makeup session, in another class, as space is available. ACKNOWLEDGEMENT OF RISKS AND RESPONSIBILITIES I, the undersigned, recognize that there is an inherent risk of injury or, illness, in any environment associated with group training class. I also recognize that such risks include, without limitation, injuries or illness from fights, rough play, contagious diseases and/or unwanted pregnancies. Knowing these inherent risks and dangers, I warrant that I, or the owner for who I am assigning as an adult guardian, will abide by all safety rules, vaccination requirements, and instructions. I agree by this con-

4 tract to assume full responsibility and hold Life is Dog, Inc, its officers, directors, agents, employees, and volunteers, including but not limited to Life is Dog, Inc (collectively, Releasees ), harmless for said pet(s) injury, death or damage as the result of any incident including my or other s negligence, except to the extent that the damage or injury may be due to willful misconduct of Releasees. I further agree to hold Releasees harmless and indemnify them against all damages, costs, fees and business losses resulting from any claim I make or cause to be made against Releasees for which they are not ultimately held to be legally responsible. OWNER LIABILITY I, the undersigned, expressly agree to be held responsible for any injury, expense, costs or damages, including but not limited to destruction of furniture, gates, walls, as well as any damage or injury inflicted upon another human or dog, arising out of my own actions or negligence or the actions of my dog. Life is Dog, Inc. makes every effort to provide a safe environment for the care and training of my dog. However, I understand that I am, and will remain, responsible for the actions of my dog at all times. For the protection of all participants we reserve the right to decline entry to any dog who presents behavioral issues that may be dangerous or disruptive to class. Should we determine the dog is not able to participate in the class you will be referred to a private consultation and given a refund for remaining classes. Vaccination Requirements All puppies (under four months old) must have their first set of vaccinations at least 7 days prior to attending class. All dogs over four months must have at least two distemper combinations vaccinations at least 7 days prior to the start of school. Dogs appropriately aged must be vaccinated for Rabies in Massachusetts. Bordetella and Canine Influenza vaccination is optionally recommended. Proof of vaccinations is required.* Payment/Attendance Policy Payment is due at least 24 hours before the first day of school you can pay by check, cash or credit card. Life is Dog, Inc requires 24 hour notice to cancel appointments. As we have limited space in classes and it is on a first come, first serve basis. We acknowledge that unforeseen circumstances out of our control do happen please notify us as soon as possible when emergency situations happen. Refund Policy There are no refunds for services rendered. Refunds are reviewed on a case by case basis and under certain circumstances (to be determined by Life is Dog, Inc). Weather Policy In the event of bad weather, please check for an notification of cancelled classes before leaving home. If you cannot retrieve your before class, please text us at for confirmation and include your name. You will be notified of make-up options for any class cancelled due to bad weather. if class has not been cancelled but you feel unsafe driving to class, please call or your trainer to let them know you are not coming and they will arrange a make-up time. Video/Photography Waiver I give permission for Life is Dog, Inc. to use photographs and video of myself, family members, and my dog(s) taken during training lessons, classes, and at Life is Dog, Inc. sponsored events. These images may be used for advertising and marketing or educational purposes, both in print form and on the internet for the Life is Dog, Inc website, Facebook page or other social media.

5 Do not allow dogs to greet one another just yet, we will instruct you on appropriate greetings. Potty your dog or puppy prior to class. If you need to take a break please do so no worries! Ask us if you need assistance. Park in front of Life is Dog, Inc designated parking spaces at 461 South Street, Marlborough MA Name: Dogs Name: Signature: Date: