Wet Tire farms k9 board & train profile Name * First Name Last Name Email * Phone (###) ### #### Location Emergency Contact * First Name Last Name Emergency Contact Email Emergency Contact Phone * (###) ### #### DOG INFORMATION Dog Name * Gender Male Female Breed Weight (lbs) Spayed/Neutered? * Yes No Description (color, ears, tail, etc.) Is your dog vaccinated for Rabies & Bordetella (Kenel Cough)? * Please note we require Rabies & Bordetella if enrolling in our B&T program or attending training at a Wet Tire Farms K9 location Yes No Please be aware that we need up-to-date vet copies of your dog's vaccination status for confirmation of Rabies & Bordetella. Please email them to amber@wettirefarmsk9.com * By checking the box below you acknowledge this requirement. Yes I understand VETERINARY INFORMATION Vet Name * Vet Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Vet Phone (###) ### #### Has your dog been diagnosed with any medical conditions? (i.e. allergies, arthritis, diabetes, epilepsy, etc) * Does your dog require any medication? If Yes, please explain * I hereby acknowledge and agree that in the event of a medical emergency or deterioration in my dog's health during the program, Wet Tire Farms K9 holds the right to seek immediate veterinary care from a licensed veterinarian or emergency clinic. I understand and accept that Wet Tire Farms K9 and its staff are not liable for any charges incurred for emergency veterinary care, and I am solely responsible for all associated costs, including examination fees, diagnostic tests, treatments, medications, and surgical procedures. While Wet Tire Farms K9 will make reasonable efforts to contact me or my designated emergency contact in case of a medical emergency, I authorize them to proceed with necessary medical care without delay if immediate action is required for the health and safety of my dog, even if I cannot be reached for consent. I also acknowledge my responsibility to verify and maintain adequate pet insurance coverage for my dog, recognizing that insurance can assist in offsetting the financial burdens associated with emergency veterinary care. Finally, I confirm that I have provided Wet Tire Farms K9 with all relevant information about my dog's health history, including pre-existing medical conditions, allergies, or medications, and I authorize the sharing of this information with the attending veterinarian in the event of an emergency. * I agree DIET AND FEEDING Brand of food * Feeding Schedule (Please specify how many cups/LB in morning, evening, etc.)(fill in) * If we are unable to contact you and your dog runs out of food during their stay, would you like us to: * Switch to Wet Tire Farms K9 brand (charge per cup/pound per day) Buy more of your brand and charge account Does your dog exhibit food aggression? If yes, please explain. TRAINING GOALS + BEHAVIOR While boarding, is there anything we should know about household manners? (select all that apply) Chews bedding Runs away Shy Eats stool Escapes Barks None of the above Please list your training goals from most important to least important * * * * * Please indicate your dog's familiarity with the following individuals or groups: Men, Women, Children, and Other Animals. Select any that apply to each category. Familiar Individuals: Men (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Familiar Individuals: Women (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Familiar Individuals: Children (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Unfamiliar Individuals: Men (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Unfamiliar Individuals: Women (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Unfamiliar Individuals: Children (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Animals your dog knows: Male (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Animals your dog knows: Female (select all that apply) Never encounters Friendly Afraid Shows teeth/growls Snaps/bites None of the above Please let us know if your dog has exhibited any aggressive behavior towards Men, Women, Children, or Domesticated Animals by filling in the applicable options: Shows Teeth/Growls, Snaps, Bites, None, Don't Know. Aggressive behavior: Men Shows teeth/growls Snaps/bites None of the above Aggressive behavior: Women Shows teeth/growls Snaps/bites None of the above Aggressive behavior: Children Shows teeth/growls Snaps/bites None of the above Aggressive behavior: Domesticated Animals Shows teeth/growls Snaps/bites None of the above Does your dog uncontrollably chase or attempt to chase any of the following? Check all that apply Joggers Bicycles Skateboarders/Rollerbladers Cars/Motorcycles Outdoor cats Squirrels Other small animals Doesn't chase How does your dog react when an unfamiliar person approaches your yard or house? (select all that apply) Friendly Over excited Afraid Barks Shows teeth/growls Snaps/bites None LIFESTYLE Please complete this section based on a typical day for your dog How frequently do you potty break your dog? Does your dog have accidents in the house? Yes No Is your dog crate trained? Yes No Where does your dog spend most of their time? Inside the house Runs free Inside the house and crate Runs free in backyard Rotation between house, crate, yard When left alone, does your dog show any of the following behaviors? (select all that apply) * Destroys household items Urinate/Defecate Bark Cry None When your dog plays, do they typically: (select all that apply) * Jump Growl Bark Bite (Lightly) Bite (Hard) None What toys/games does your dog enjoy? (select all that apply) * Fetch Tug Chase Wrestling None Is your dog scared of anything in particular? Any other bad habits at home we should know about? What side does your dog walk on? (If not already taught we prefer the left side) Left Right Kindly specify if your training commands differ from those used at Wet Tire Farms K9, as listed below. If your commands vary, please indicate the preferred alternative for each in the space provided. "Sit" (Butt to the ground) * "Heel" (Begin your heel) * "Down" (Lay down) "Nope" (No command) "Dog's Name" (Recall) - can be followed by "here" if preferred "Place" (Place command) "Yes" (Release/behavior completed command) "Kennel" (Crate, kennel, enclosed space) What training gear does your dog use at home? (i.e. prong collar, harness, e-collar, elevated bed etc) * Please only complete this section if you are traveling during your dogs stay with Wet Tire Farms K9. Please indicate your travel destination, Date of Departure & Date of Return * Date of departure MM DD YYYY * Date of return MM DD YYYY * Travel Destination AGREEMENTS I give Wet Tire Farms K9 consent to reach out to my emergency contact, if there were to be a reason for our trainers to be concerned about my dogs overall behavior & health. * I agree I understand that Wet Tire Farms K9 will attempt to reach me directly, and in the case they cannot get hold of me, the Emergency Contact will be contacted. * I acknowledge If we cannot get a hold of your Emergency Contact, we will be contacting your vet on file. * I acknowledge I understand in certain circumstances my dog may need to leave the board and train program early. * I acknowledge We (Wet Tire Farms K9) agree to exercise due and reasonable care of your animal, and to provide your animal with safe quarters and to properly feed and care for your animal. All animals are boarded and/or trained or otherwise handled or cared for by us without liability on our part for loss or damage from disease, death, running away, theft, fire, injury to persons, other dogs, or property by said animal, or other unavoidable causes, due diligence and care having been exercised. If the animal’s health demands quick action, Wet Tire Farms K9 is authorized to have a veterinarian look at and treat the animal for the cause and effect. Such expenses, being reasonable in amount, shall be paid promptly by the owner. It is also understood that the owner is NOT responsible for injuries caused by the animal while in the care of Wet Tire Farms K9, provided that all facts of known biting or aggression are disclosed by the owners. Occasionally, photographs or video footage may be taken of animals that are staying here at Wet Tire Farms K9. We give Wet Tire Farms K9 our permission for any resulting photographs or video of our animal to be used for advertising or educational material, understanding that the resulting photographs or videos are the sole property of Wet Tire Farms K9. Any legal expenses incurred in defense or enforcement of this contract shall be the total responsibility of the owner of the animal. I hereby acknowledge that I have read all of the above and agree as owner or agent of the owner to the forgoing. I also understand and agree that all outstanding charges are due and payable upon completion of services. We do ask for 48 hour advance notice of cancellation for full credit of your package days. * I agree to the terms and conditions Please initial here HOME AWAY FROM HOME During your dog's stay we wish to have your consent for your dog to use a blanket or bed. Due to the risk and possible ingestion of the bed/blanket, we want to make sure you are fully aware of the risk and understand that Wet Tire Farms K9 and the Wet Tire Farms K9 Team can not be held accountable if an accident were to occur. If we observe destructive behavior we will remove the bed/blanket. If you answered Yes to a bed and blanket, please be aware the following things can happen and provide your consent to each: Would you like your dog to have a bed/blanket during their Board & Train? * Yes No acknowledge that my dog might damage the bed, and I am aware of the $35 replacement cost in such a case. I recognize that my dog may consume the bed after chewing on it. I am aware that providing a bed for my dog may encourage chewing behavior. Would you like to receive updates from Wet Tire Farms K9 about upcoming events and special promotions? Yes No Thank you for your submission. A trainer will be reviewing your form and get back to you as soon as possible. If you have any additional questions please contact us using the “Contact” link above.