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IF YOU ARE READY TO BEGIN
PLEASE FILL OUT THE TRAINING CONTRACT BELOW!
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Indicates required field
How Did you Hear about us?
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CLIENT INFO:
Your Name:
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First
Last
Your Email:
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Your Home Phone:
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Your Cell Phone:
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Your Work Phone:
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Your Address:
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Line 1
Line 2
City
State
Zip Code
Country
EMERGENCY CONTACT:
If we are unable to reach you in an emergency,
please provide information for someone
who you give permission to make decisions in your absence.
Emergency Contact Name:
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First
Last
Emergency Contact Phone:
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Emergency Contact Email:
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Who is Authorized to pick up your dog(s) from our facility with your permission:
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DOGS INFO:
Please Disregard the second column if you
are filling
out a training contract for only one dog.
If you have more than two dogs please fill out an additional contract.
FIRST DOG:
Dog Name:
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Dog Breed:
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Dog Weight:
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Dog Birth Date / Approximate Age:
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How Long Have You Owned the Dog:
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Where was it acquired from:
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Gender
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Male
Female
Neutered / Spayed?
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YES
NO
Important Medical History:
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Does your dog have allergies:
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YES
NO
If YES, please list (include allergies to food &/or medications):
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Is your dog currently on / prescribed any medications:
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YES
NO
If YES, please list ALL, with amount & time of day given:
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How much exercise and of what activities does your dog get daily, weekly, etc. :
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What brand(s) of food do you feed:
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How many cups per feeding:
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How many times per day:
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SECOND DOG (OPTIONAL):
Dog Name:
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Dog Breed:
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Dog Weight:
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Dog Birth Date / Approximate Age:
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How Long Have You Owned the Dog:
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Where was it acquired from:
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Gender
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Male
Female
Neutered / Spayed?
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YES
NO
Important Medical History:
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Does your dog have allergies:
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YES
NO
If YES, please list (include allergies to food &/or medications):
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Is your dog currently on / prescribed any medications:
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YES
NO
If YES, please list ALL, with amounts & time of day given:
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How much exercise and of what activities does your dog get daily, weekly, etc. :
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What brand(s) of Food do you feed:
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How many cups per feeding:
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How many times per day:
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Is this dog currently on flea/tick preventative:
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YES
NO
Please list the date it was last administered:
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Is this dog currently on flea / tick preventative:
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YES
NO
Please list the date it was last administered:
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Please list the date the next dose is due to be administered:
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Please list the date the next dose is due to be administered:
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Is this dog currently on Heartworm Preventative:
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YES
NO
Please list the date it was last administered:
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Please list the date the next dose is due to be administered:
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Is this dog currently on Heartworm Preventative:
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YES
NO
Please list the date the next dose is due to be administered:
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Please list the date it was last administered:
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ALL DOGS MUST BE UP TO DATE ON VACCINATIONS AND PREVENTATIVES.
WE REQUIRE A NEGATIVE FECAL FLOAT TEST ON ALL DOGS.
Please Upload Vaccination Records:
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Max file size: 20MB
IF you are unable to upload your vaccination records with this training contract please contact your veterinarian and ask them to direct mail or email us copies of your current records.
You can also provide a hard copy of your records to us by mail or in person when you drop your dog off to stay with us or at the first lesson.
ALL RECORDS MUST BE PROVIDED BEFORE THE START OF TRAINING!
VET INFO:
Facility / Company Name:
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Veterinarian Name:
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Contact Number:
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BEHAVIOR ISSUES:
Please Disregard the second column if you
are filling
out a training contract for only one dog.
If you have more than two dogs please fill out an additional contract.
Dog #1: Please check all that apply:
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My dog pulls on leash
My dog does not obey commands
Has Never been trained before
Is NOT house trained at all
Does NOT go into the crate
Growls, Barks or Lunges at other dogs
Has gotten into a dog fight
Has broken skin on a dog
Growls, Barks or Lunges at people
Has broken skin on a human
Does NOT let me touch their feet / nails
Does NOT let me bath or groom them
Does not let me put on or take off collars
Barks or Growls in the crate
Reacts badly to touching / petting
Has separation anxiety
Eats poop
Is aggressive when I approach / try to take away their food
Is aggressive when I try to take their toys away
Growls, barks or tries to bite when I try to get them off of furniture or the bed
Has accidents in the house / crate
Chases small animals
Has injured / killed a small animal
Has NEVER seen a cat
Tries to chase / hurt cats
Has never been on car rides
Gets sick in the car
Is afraid to ride in the car
Is aggressive toward stranger when he/she is in my car
Has never been swimming before or is afraid of swimming / water
Has experience with an invisible / underground electronic fence system
Dog #2: Please Check all that apply:
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My dog pulls on leash
My dog does not obey commands
Has Never been trained before
Is NOT house trained at all
Does NOT go into the crate
Growls, Barks, or Lunges at other dogs
Has Gotten into a dog fight
Has broken skin on a dog
Growls, barks or lunges at people
Has broken skin on a human
Does NOT let me touch their feet / nails
Does NOT let me bath / groom them
Does NOT let me put on or take off collars
Barks or Growls in the crate
Reacts badly to touching / petting
Has separation anxiety
Eats poop
is Aggressive when I approach / try to take away their food
Is aggressive when I try to take their toys away
Growls, Barks, or tries to bite when I try to remove them from furniture or the bed
Has accidents in the house / crate
Chases small animals
Has injured / killed small animals
Has NEVER seen a cat
Tries to chase / hurt cats
Has never been on car rides
Gets sick in the car
Is afraid to ride in the car
Is aggressive toward strangers when he/she is in my car
Has never been swimming before or is afraid of swimming / water
Has experience with an invisible / underground electronic fence system
Is there any other behavior issue you would like to add that we haven't covered above:
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What are your training expectations:
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Tell us what you are hoping to achieve.
Lesson Plan:
Must be purchased separately for multiple dogs.
Lesson Packages:
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NONE
3 Lessons : $375
5 Lessons: $575
10 Lessons: $1000
**OTHER
Other:
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WAIVERS:
Please Initial to Confirm you agree:
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Balanced Life K9 Training will do everything in their professional capacity to create as safe an environment as possible for the boarding, handling and training of the dog(s) listed and identified above. We vow to offer only sound, safe and responsible training, care and post-boarding training instruction to the owner as per our professional opinion.
The owner of the dog(s) listed and identified above agrees that ALL animals are capable of and may exhibit unpredictable behaviors at any given time. The owner of the dog(s) listed and identified above agrees that Balanced Life K9 Training and any/all of its staff and associates will not be held liable for the actions of their dog at any point in time.
The owner agrees that any recommendations made by Balanced Life K9 Training and any/all of its staff and associates, in terms of advice, instruction or services / products, are not and will never be a guarantee of performance or satisfaction.
Please Initial to Confirm you agree:
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Owner agrees and acknowledges that owning any animal, including the dog(s) listed and identified above, involves inherent risks, including, but not limited to the risk of being biten.
Please Initial to Confirm you agree:
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If the dog(s) listed and described above become ill or injured while in our care, we will make every viable attempt to contact and notify the owner via contact information provided to us in this contract. If the client is not able to be reached, the emergency contact shall be contacted and notified in the owners absence, to make decisions on the dogs immediate care.
Should neither parties be readily available, the owner agrees that the trainer is permitted to take emergency actions, in the best interest of the dogs health and welfare. This includes, but is not limited to, veterinary visits requiring medical attention and the prescription of antibiotics and any other necessary medications.
Any and all expenses resulting in medical attention and treatment shall be billed to and paid by the owner.
Please Initial to Confirm you agree:
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Owner fully understands and agrees to the use of any and all training tools and techniques during training and boarding to modify the behaviors of the dog(s) listed and described above during their stay with us. These include, but are not limited to: Treats, toys, leashes, prong collars, crate / kennel, slip Leash, slip collar, muzzle, pet convincer, squirt bottle, flat buckle collar, martingale collar, long line, flexi-leash, remote training collar, no bark collar.
Please Initial to Confirm you agree:
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Owner agrees to not hold Balanced Life K9 Training its staff and/or associates liable for any damages to the dog(s) listed and described above as a result of boarding and/or training at their facility, from any cause whatsoever. This includes, but is not limited to loss by fire, theft, running away, death or injury during the term of this agreement, whether or not the dog is on the trainers premises. This goes for all scenario's except where any such loss is caused by the gross negligence or intentional act of the trainer.
Please Initial to Confirm You Agree:
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PHOTO / VIDEO RELEASE:
I agree to grant Balanced Life K9 Training permission to use, distribute, reproduce, edit, sell, copyright, broadcast, electronically store, exhibit and publish photograph(s), video(s), and audio/sound recording(s) of me and or my dog(s) at ANY time before, during and after our training and/or boarding dates. I release Balanced Life K9 Training from any and all liability resulting in the use of, distribution, editing, reproduction and publishing of these items and materials.
I waive any rights to compensation I may be entitled to for any of the materials listed.
PAYMENT POLICY:
Unless otherwise agreed upon and confirmed by both parties in writing:
*** ALL PAYMENTS SHALL BE MADE 100% IN FULL PRIOR TO THE START DATE OF TRAINING ***
CANCELLATION POLICY:
All appointments scheduled will require a 24 hour notice of cancellation by the owner or will otherwise be charged at full price. Exceptions will be made for emergency / medical circumstances.
If the client chooses to terminate the training contract and discontinue training after 50% of training has been completed, NO refund will be issued.
If the trainer feels necessary, or that the client will not listen to training instructions / advice, the trainer can, at their own discretion, terminate the contract and discontinue training with the client at ANY point in time throughout the training period. A partial refund for the services remaining will be issued.
ALL PRIVATE TRAINING PROGRAMS MUST BE COMPLETED WITHIN SIX MONTHS OF INITIAL SIGN UP DATE (OR FIRST LESSON) OR CLIENT WILL FORFEIT REMAINING TRAINING LESSONS WITH NO REFUND.
Print Full Name to Confirm you Agree:
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Date of Contract / Agreement:
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