Wet Tire farms k9 Training Application & Waiver Name * First Name Last Name Email * Phone * (###) ### #### Location Spouse/Alt Contact * First Name Last Name Spouse/Alt Contact Email Spouse/Alt Contact Phone * (###) ### #### How did you hear about Wet Tire Farms K9? * DOG INFORMATION Dog Name * Gender Male Female Breed Weight (lbs) Birth Date MM DD YYYY Spayed/Neutered? Yes No Description (color, ears, tail, etc.) Where and from whom did you get your dog? Is your dog vaccinated for Rabies & Bordetella (Kennel Cough)? * Please note we require RABIES & BORDETELLA if enrolling in our Board and Train 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 Do you have pet insurance? Yes No ID Tag/Microchip? Yes No If yes, please provide the Tattoo/Chip# VETERINARY INFORMATION Vet Name * Vet Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Vet Phone (###) ### #### Please list any past or present health conditions? (arthritis, seizures , surgeries, etc) * Does your dog require any medication? If Yes, please explain LIFESTYLE/TRAINING+ Does your dog go to any of the following? (select all that apply) * Work Dog Daycare Dog Parks Dog Walker None What SPECIAL PROBLEMS does your dog exhibit? (i.e. fear, aggression, possessive, guarding, etc) * Has your dog ever bitten? * Yes No If Yes, how many people/dogs has your dog bitten? Please provide any specific details. Has your dog ever been to any training classes before? * Yes No If yes, with whom/where Please indicate which package you are proceeding with: * Private Sessions Board & Train Please list your top 5 training goals * * * * * Tell us a little bit about your family and your dogs day to day * AGREEMENTS General Terms & Conditions: I understand that once the dog training classes for which I registered have begun, there is no refund of any kind should I be unable to complete the classes. Enrollment is done on a “first come, first served” basis. Class fees are due in full with a completed registration form prior to the first class of the session. Wet Tire Farms K9 has the right to refuse me and/or my dog at any time for any reason including but not limited to behavior, health, or other considerations. In the event that you do not show for your training lesson we are obligated to deduct a day from your package. * I agree Photo Release: I give my permission for Wet Tire Farms K9, and its instructors to use any photos taken at class of me and/or my dog(s) on Wet Tire Farms K9 website or promotional materials. * Please give your permission for photo release: (Select an option) Yes No Deposit Requirement: To begin your training we require a 50% deposit upfront and the remaining is collected at your first session. If full payment is not made at your first session we are obligated to cancel training/deduct a training day from your package. If you have a balance 30 days past due we have the right to close your account and you will forfeit your deposit. * I agree Vaccine Requirement: Dogs must be current on distemper, rabies and Bordetella (kennel cough) vaccinations and on a parasite preventative program. I certify that my dog(s) who will be attending training session is(are) current on vaccinations and I have received the consent of my veterinarian for my dog to attend training/classes if there are any health conditions (i.e. lameness or medications) which might interfere with my dogs ability to participate. * I agree Potential Risks: I understand that attendance of a dog obedience training class/sessions, are not without risk to myself, members of my family or guests who may attend, the Wet Tire Farms K9 Trainers and or my dog, because some of the dogs to which I (we) 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 agree Results & Success: I understand that the degree to which a dog is successfully trained is a function of the interest, commitment, and cooperation of the owner. I acknowledge and agree that there is no guarantee that my dog will achieve the desired level of training despite the best efforts of the instructor * I agree Liability Release: I hereby waive and release Wet Tire Farms K9, its employees, owner and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training sessions or other functions of the class, or while on the training grounds or the surrounding area there to * I agree No Refund Policy: The 50% deposit is to secure your booking and placement in the program. It is non-refundable. It serves as a commitment from both parties, because once your booking is confirmed, we reserve the necessary time, resources, and expertise of our trainers exclusively for you and your dog. Our no-refund policy also applies to the full amount paid for training services. * I agree Please initial here * 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.