Name *

First Name

Last Name

Phone

(###)

###

####

Vaccination and parasite preventatives:

Please select all current vaccinations and parasite preventatives your dog is up to date with (Please note your dog must be fully vaccinated to attend class.)

Kennel cough

C3

C4

Leptospirosis (Non required)

Flea And tick prevention (High reccomended)

Dogs gender

Male

Female

Please describe your dogs living situation

Indoors in the house/apartment predominantly.

Predominantly outdoors.

50/50 inside and outside.

Everywhere dog, attends work etc with me.

What service are you interested in?

Group obedience class

Walk and trains

Dept grooming

Do you give permission for us to film yourself and your dog to post on our socials?

Yes

No

You can film my dog but please leave me out of the video

Cancelation policy

By checking the "I agree" box below, I understand and agree to the following cancellation policy terms: 1. Once a training program has started, there are NO refunds. 2. The client may reschedule or cancel ONE prescheduled private session without penalty. Any subsequent reschedules or cancellations will count as and be charged as a prepaid session in the training plan. It is imperative that sessions be scheduled on a consistent basis and in a timely manner. 3. A minimum of 48 hours notice is required to cancel a scheduled session/Withdraw from group classes without penalty. Check below *

I agree

Payment policy

By checking the "I agree" box below, I understand and agree to the following payment policy: Payment (cash, credit card of direct deposit) is due in full upon commencing classes and training sessions. Long-term training clients have the option to pay in full after each visit, or to be billed as needed (preferred monthly). Check below *

I agree

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 The impeccable canine 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.

I agree

Date

MM

DD

YYYY