Name
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First Name
Last Name
Phone
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(###)
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Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Dog's Name
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Dog's age
Dog's breed (if known or best guess)
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Dog training goals
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Please list other dogs in the home and if there are behavior concerns with or between other dogs
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Please list any aggression such as growling and biting towards any people. Type "none" if this is not a concern
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Please list any growling, biting, fighting, or aggression towards other dogs. List "none" if this does not apply
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How does your dog greet visitors to the home?
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Please list any medical concerns and/or medications
Please describe any anxiety, fearfulness, or obsessive behaviors your dog may have
What type of collar or harness do you walk your dog on?
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Liability Release
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This Training Contract (“Contract”) is between Hart to Heart Canine Training LLC and the Owner of the dog being placed in training (“Owner”). Hart to Heart Canine Training LLC agrees to train the above described dog. The charge for training will be the fees listed on this website. If Owner fails to make any payment when due, Hart to Heart Canine Training LLC may charge 1 1/2% per month interest on any outstanding balance until paid in full plus any costs of collection (including attorney fees) if collection is required. Any future training provided by Hart to Heart Canine Training LLC to Owner shall be provided under the terms of this Contract and at the current daily rates charged at the time of such training.
Owner has been advised that dogs have different degrees of ability to absorb and retain training. Every dog’s training requirements are different and Hart to Heart Canine Training LLC will make a good faith effort to train Owner’s dog based upon the capabilities of the dog. Owner understands that training required depends on the dog's behavior and Owner's follow through and consistency. There is no guarantee of training goals being accomplished in a certain amount of timeHart to Heart Canine Training LLC does not guarantee the results of the training.
Owner represents that all inoculations are current. Owner represents that the dog has not been exposed to Rabies, Distemper, or Parvo within a thirty day period prior to boarding. Owner will provide proof of current vaccinations including Kennel Cough if requested. If dog becomes ill or if the state of the animal’s health otherwise requires professional attention, Hart to Heart Canine Training LLC, at its sole discretion, may engage the services of a veterinarian or administer medicine or give other requisite attention to the dog and the expenses therefor shall be paid by Owner.
Owner hereby releases, to the extent allowable by law, Hart to Heart Canine Training LLC, its trainers, employees, agents, shareholders, officers and directors from any liability or responsibility if the dog causes harm to itself, the Owner or the Owner’s family, or to other persons, animals or property. Owner agrees to hold harmless, to defend and to indemnify Hart to Heart Canine Training LLC, its trainers, employees, agents, shareholders, officers and directors from any and all claims, demands, actions, causes of action, rights, obligations, liabilities, damages, costs, expenses, and other losses of every kind and nature, including any third party claims and any harm or damage of any nature or kind caused by the dog or caused by the Owner’s care or handling of the dog, including but not limited to: (a) the dog biting any person or animal, (b) the dog causing damage to property, or (c) the dog running away or harming itself. In no event shall Hart to Heart Canine Training LLC have liability to Owner exceed the amounts paid and/or owed to Hart to Heart Canine Training LLC by Owner for training, boarding, and other miscellaneous fees.
This Contract contains the entire agreement between the parties. All terms and conditions of this Contract shall be binding on the heirs, administrators, personal representatives, successors and assigns of the Owner and Hart to Heart Canine Training LLC. In any litigation arising out of or relating to this Contract or the breach thereof, the prevailing party shall be entitled to recover reasonable attorney fees and costs.
Owner agrees to all terms and conditions as stated in this contract. It is further understood and agreed that no warranty or representation has been made or will be made with respect to said training except as set forth herein.
All answers on this intake form are accurate. I did not omit any aggressive behavior my dog has shown.
I understand my checking the box and entering my name on this form constitutes my agreement to this contract.
