Application For Behavior Modification Programs-K9TrainingWithByron

Application For Behavior Modification Programs

Please fill out this form below. By filling out this form I will be able to better understand any behavior issues and your training needs.

First Name

Last Name

Address

Phone Number

Are there any children in the household? If so, how old?

How did you hear about K9 Training With Byron?

What is your weekday or weekend availability for dog training lessons?

Your Dog's Name

Your Dog's Breed

Age of Dog

Weight of Dog

Color

Is your dog neutered?

Yes

Not Yet

Where was the dog obtained?

Rescue

Breeder

Shelter

Other

Does your dog have any medical issues? If yes, please specify.

Is your dog on any medications? If yes, please specify.

How long have you had your dog?

Any other household pets? If yes, please specify.

Any dog walking services or day care services for your dog?

Who is your dog's veterinarian?

Does your dog have any allergies?

Yes

Any current or past medical injuries? If Yes, please specify.

Is the dog on heartworm preventive?

Yes

Is the dog on tick and flea preventive?

Yes

Not During Winter

Dog Nutrition: What kind of food do you feed your dog?

Please describe the feeding routines for your dog.

Regarding Training: What are your expectations in regards to immediate and long term goals?

What did you and your dog learned from training?

Is your dog crate trained?

Yes

When do you crate your dog? Any issues with crating your dog?

Does your dog use wee wee pads?

Yes

Sometimes

Is the dog allowed to roam free when you are not home?

Is your dog allowed to run free unsupervised in the yard?

Is your dog allowed on furniture?

How does your dog react when you leave?

Please describe walking your dog on the leash?

What kind of collar or harness are you using or have used?

Do you let your dog meet other dogs while being on leash? If yes, how does it go?

How does your dog react to other animals? Please be specific.

Do you currently take your dog to the park?

Yes

How does your dog react when strangers approach your home, yard or in public?

Is your dog startled or scared of loud noises? If yes, please be specific.

Is your dog sensitive to any parts of his/her body being touched? If yes, please be specific.

Has your dog ever growled at someone? If yes, please be specific.

Has your dog ever bitten or nip at a human? If yes, please be specific?

Is your dog muzzle conditioned?

Yes

Not Sure

Are there any other behavior problems with your dog you would like to address? If yes, please specify.

What are your dog's best qualities and what does your dog love to do the most?

TRAINING AGREEMENT

Important:

All dogs are individuals and their learning will progress at a variable rate. There are no guarantees that the dog will be able to learn, only that the lessons/instructions will be given. Dogs are either learning or forgetting, so a maintenance program must be followed if the dogs are to retain what they have learned. Several courses/ sessions may be required to achieve desired results. Training equipment may be required to achieve desired results. PROOF OF CURRENT VACCINATIONS OR TITER MAY BE REQUIRED. Registrations are taken on a first-come, first-served basis only provided the fee and Application for Training is received. Fees are non-refundable. Training is designed for domestic dogs only. We reserve the right to dismiss WITHOUT REFUND, any handler for failure to abide by the rules as stated by k9trainingwithbyron.com, training orientation, handler's failure to control the dog, handler abuse of dog, and/or dangerous behavior of dog.

Signing the Application for training is agreement to these term.

AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK

I understand that dog obedience training and behavior modification is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I may be exposed may be difficult to control and may be the cause if injury even when handled with the greatest amount of care. I hereby waive and release k9trainingwithbyron.com hereinafter referred to as the "Training Organization", its shareholders, employees, officers, members, agent and any and all representatives from any and all liability of any nature, for injury while attending any training sessions, 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 by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, or while on the grounds or surrounding are thereto as a result of any action by any dog, including my own.

Do you agree to the Training Agreement Term?

Yes, I agree.

Your Signature