Owner s First Dog s Address: City: Home Ph#: KRANKY K9 DOG TRAINING AND REHABILITATION BOARD & TRAIN CONTRACT (Please PRINT all Information) Last State : Zip: Work Ph#: Email : Cell Ph#. Dog s Age: Breed: Sex Color : Male Female : Veterinarian Hospital: Neutered/Spayed Shot Records? Yes No Received? Yes No Emergency Contact First Last Relationshi p: Home Ph#: Cell Ph#: How many adults live in the home with your dog? How many children live in the home with the dog? What are the ages of the children? Does your dog sleep in your bedroom? Yes No In your bed? Yes No Do you feed your dog at specific times or do you free feed? Specific times Free feed What other pets live in your home? (Please tell us the species/ name/ age and sex of other pets.) Does your dog interact well with other Yes No
pets? (If NO, give an explanation of any relationship problems between your dog and other pets.) Do you live in a Multi-level House Ranch House Apartment Loft Townhouse Other Do you have a yard? Yes No Is your yard fenced? Yes No Do you have an invisible fence? Yes No Does your dog tolerate being crated? Yes No Part of training includes teaching your dog to enjoy his or her own space for quiet time in their crate. Is there anything you would like us to know about your dog s present reaction to being crated? Has your dog ever chewed or eaten his bedding while in a crate? Yes No Please check off any of the problems listed below you re having with your dog: Is not housebroken. Is overactive and doesn t settle down easily. Mounts people or objects. Urinates when excited/afraid. Jumps on people. Is aggressive towards dogs. Growls at family members. (If yes explain when and why.) Is a nuisance barker or whiner.
Play bites. Chews destructively. (If yes explain on what, when and why.) Does not come when called. Bolts through open doors. Guards toys, food, objects, etc. Guards space. Is shy. (If yes explain towards what.) Stresses easily. Pulls on leash. Has bitten. (If yes xplain who, why, when and severity of the bite.) Sniffs at or eats from counter tops. Jumps on furniture he/she shouldn t. Has separation anxiety. Digs in the yard. Other Other problems you would like to resolve with your dog: What brand and type of food do you feed your dog? How much do you feed and on what schedule? Is there anything else we should know about your dog?
Is your dog on any medications? Yes No If yes, please explain type of medication and schedule. Is your dog on any supplements/vitamins? Yes No If YES, please explain type of supplements/vitamins and schedule. What are the most important things we can teach your dog to help you enjoy your pet to the maximum? How did you find Kranky K9 Dog Training? Additional Information or Comments: I understand and agree that genetics and environmental history (e.g. past experiences, lack of training, nutrition, health, etc.) can affect my dog s behavior. I understand and agree that this training may not be able to cure my dog s aggression, or other problems, and I further understand and assume all risks associated with owning and harboring a dog that may be aggressive. As a condition of my dog s participation in training with Kranky K9 Dog Training I agree to waive all claims against Bo Harrison,
Kranky K9 Dog Training owner and Dan Baumann, Hillcrest Kennels owner and to indemnify and hold Bo Harrison and Kranky K9 Dog Training, Dan Baumann and Hillcrest Kennels, it officers, agents, and employees, harmless from any and all liability or claims I may have or that any other person or entity may have because of any death, bodily injury, personal injury, or because of any loss to property that may arise out of or in any way be connected with my dog s training or dog boarding. I agree that Kranky K9 Dog Training does not guarantee that my dog will do or stop doing any specific behavior after training; I understand that Kranky K9 Dog Training agrees to offer follow up support and training, whether by telephone or in person, as long as I shall own my dog. I agree that if, by agreement between Kranky K9 Dog Training and myself, my dog needs additional training for a period of more than one day, I shall permit my dog to stay overnight at Bo Harrison s location, that I will not be charged additional training fees, but that I will pay a boarding fee not to exceed $44.00 per night. I agree that follow up training appointments, if needed, will be conducted at a location specified by the owner and/or staff of Kranky K9Dog Training. I agree that in the event of a medical emergency or if asked for medical procedures, Bo Harrison, Kranky K9 Dog Training, Dan Baumann, Hillcrest Kennels, it officers, agents, and employees may have my dog treated by a veterinarian of their choice, and I will be responsible for the cost of any medical treatment. There are no refunds for training services paid. Agreed upon Board and Train period will be: From Drop off date: Drop off time: To Pick up date: Pick up time: By signing this agreement, I am acknowledging that I have read and agree to all terms and conditions set forth in this agreement; and that I agree to maintain my dog s training after the board and train is complete, following instructions provided to me by Kranky K9 Dog Training. Client Printed Bo Harrison s Signature: Client Signature: Date: