Name
              
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                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
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                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              House Address
              
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                    Address 1 
                   
                
                
                  
                     
                    Address 2 
                   
                
                
                  
                     
                    City 
                   
                
                
                  
                     
                    State/Province 
                   
                
                
                  
                     
                    Zip/Postal Code 
                   
                
                
                  
                     
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
              
                
            
              Emergency Contact
              
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              Dog Name
              
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              Is your dog male or female?
              
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                    Male 
                  
                    Female 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Is your pup spayed/neutered?
              
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              All of your dog's nicknames:
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Breed/Description
              
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              How old is your dog and how long have you had them?
              
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              Approximately how much does your dog weigh?
              
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              How do you use the crate at home? Please check all that apply.
              
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                We require dogs to be crate conditioned before coming to any of our training programs for the overall well-being of the dog.
                
                  Don't have a crate
                
                  Have one but don't use it
                
                  Use it at night to sleep
                
                  Use it when we leave the house
                
                  Use it during the day while we are homeion 5
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please explain your dog's behavior when crated depending on your answers checked above.
              
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              Who is your veterinarian?
              
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              Check all that apply
              
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                  Leash lunging
                
                  Jumping on people
                
                  Aggression with other dogs
                
                  Aggression with people
                
                  Separation anxiety
                
                  Door bolting
                
                  Excessive barking
                
                  Chewing
                
                  Marking
                
                  Counter surfing
                
                  Not coming when called
                
                  Anxiety
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Does your dog go to doggy daycare? If so, which one and how often?
              
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              If you checked aggression with dogs or humans please explain in as much detail as possible.
              
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              Has your dog ever bit another dog, human, or child? If so, please specify in as much detail as possible.
              
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                Please include details like when this occurred, how severe the bite was, if skin was broken, and how easily was the fights) were broken up.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Has your dog ever escaped a fence or crate? If so, please specify the height of the fence, when this happened, and what happened in as much detail as possible.
              
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              What tool do you walk your dog with?
              
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                  Flat collar and clip leash
                
                  Harness and clip leash
                
                  Slip lead
                
                  Prong collar
                
                  Gentle leader
                
                  Other
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              List any other specific issues/training goals:
              
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              List any past trainers you've worked with or training classes attended.
              
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              How did you hear about us?
              
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              Are you a current Downtown Dog Enrichment member?
              
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                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Cancellation Policy
              
             
          
                No-shows and lessons cancelled without a minimum 24-hour notice via email will not be refunded. Make ups will cost our standard hourly rate.
                
                  I agree to the above.
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Terms and Conditions
              
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                - Red Beard Dog Training, LLC (herein known as Trainer) shall provide professional consultative and instructional services for the dog(s)’ owner(s); handler(s) (herein known as Client), consisting of teaching canine behavioral theory, dog and leash handling, basic commands, humane corrections, positive praise, and/or recognition of undesirable canine behavior and administration of proper behavior modification techniques.
- Client, on behalf of himself/herself and any other person handling the dog during training, hereby waives any and all claims and causes of action he or she may have and releases Trainer from any and all claims, damages and/or liability he or she may have or which may accrue during the course of training, including any injury or illness to the dog, which are caused by any factor whatsoever, including, without limitation, fire, disease, illness, virus, escape, theft, death, or any other cause. Client agrees to indemnify and hold Trainer harmless from any and all injury, claims damages, awards or causes of action which accrue as a result of any injury or damage caused by Client’s dog biting, scratching, clawing, or otherwise attacking any other person or animal. Client shall be solely responsible for the health and physical condition of the dog and specifically acknowledges such a responsibility and releases Trainer from any claim relating to the same.
-Client understands that Trainer reserves the right to terminate this agreement at any time and fully refund my money without any further liability or obligation to client.
-Trainer is not liable for any injuries sustained by Client dog or veterinary expenses in the event of a dog(s) injury, including but not limited to, hot spots, allergies, or skin conditions of any kind. 
- Client vows to follow leash laws and other ordinances of my city/town regardless of dog’s off-leash capabilities. 
 
- Client consents to using a muzzle on my dog during training if the trainer deems it necessary for the safety of other dogs and people.
 
- Client agrees to allow Trainer to use its dog’s name and any images or likeness of the dog, including photos or videos of the dog taken while it is training, in any form or format, for use, at any time.
- Client understands and agrees that not all dogs are trainable to the same extent, and that the ability to train a dog to an acceptable level of performance may be dictated by factors beyond the control of Trainer. Such factors may include, but are not limited to, age, previous conditioning, breeding, physical and psychological health, individual temperament, length of training schedule, and Client involvement. Trainer shall not be held responsible for poor dog training performance due to limitations beyond the control of Trainer.
- Client acknowledges that Trainer may use e-collar, prong or pinch collars, slip leashes, harnesses and training long lines as tools for dog’s training.
- Client agrees to make payment in full before training begins. All dogs enrolled in board and train will require non-refundable $500 deposit to secure training start date. Additionally, all dogs must be up-to-date on vaccines before attending any training.
                
                  I agree to the terms and conditions.