Dog Information form
Name
First Name
Last Name
Phone
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
Dog profile
Dog's name
Dog's breed
Dog's Weight
Age
Dog's Sex
Desired service
Behavior modification
Obedience training
Off-leash training
Emergency Contact
Emergency Contact Name
Phone
Vet Information
Vet Name
Vet Phone
Address
street / city / state / zip
Medical information
Important medical information
Does your dog have any allergies?
Does your dog take any medications?
File upload: VACCINATION RECORDS
Upload a File
MUST have Rabies, Bordetella and DHPPV
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Dogs Current Behavior
Does your dog obey commands?
Has your dog been trained before? If yes, How and where?
Is your dog house-trained?
Has you dog ever been in a dog fight?
Does your dog growl, bark, or lunge at other dogs? At people?
Has your dog ever bitten another dog? A person?
Does your dog let you groom him/her or touch his/her nails?
Does your dog let you put on/ take off collars?
Does your dog go into the crate?
Does your dog bark or growl in the crate?
Does your dog react negatively to touching/petting?
Does your dog have separation anxiety?
Is your dog aggressive when people approach his/her food?
Is your dog aggressive when you try to take him/her off furniture?
Is your dog aggressive when people try to take his/her toy away?
What are your training expectations?
Waiver: General Policy
#1: Lucky Paws will create a safe environment for the training and boarding care of the dog(s) identified above (the “Dog”), and will offer only sound, safe, and responsible training, care, and post-boarding training instructions. Owner agrees, however, that all animals may exhibit unpredictable behaviors and that Lucky Paws will not be liable for the actions of the Dog that are outside of the control of Lucky Paws. Owner agrees to allow random stool samples to insure safety of kennel. Owner agrees that the recommendation by Lucky Paws of any product or service is not a guarantee of performance or Owner’s satisfaction with that product or service.
Full Name
#2 :Lucky Paws agrees to indemnify and hold Owner harmless from and against any claims of injury, expense, costs, loss or damages caused by the gross negligence or willful misconduct of Lucky Paws while the Dog is in the sole custody, care and control of Lucky Paws. Owner acknowledges that Lucky Paws has no control over the Dog when the Dog is not in the exclusive custody, care and control of Lucky Paws, and Owner agrees to indemnify and hold Lucky Paws harmless from and against any and all claims of injury, expense, costs, loss or damages caused by the actions of the Dog when the Dog is not the sole custody, care and control of Lucky Paws.
Full Name
#3: Owner acknowledges and agrees that owning any animal, including the Dog, has inherent risks, including but not limited to the risk of dog bites to Owner.
Full Name
#4: Owner fully understands the tools and techniques that are used to train and modify the behavior of their dog and agrees to the tools and techniques which include Wire crate, Prong collar,E-collar , Slip Lead, Pet Convincer, Muzzles, Flat Buckle collar, Martingale collar.
Full Name
Photo/Video Release (All Clients)
I hereby assign and grant to Lucky Paws the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training and/or boarding of my dog(s) by Lucky Paws, and I hereby release Lucky Paws from any and all liability resulting from such use, reproduction, distribution, and publication. I hereby authorize the reproduction, sale, distribution, copyright, exhibit, broadcast, and/or electronic storage of any and all such photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) without limitation at the discretion of Lucky Paws and I specifically waive any right to any compensation I may have for any of the foregoing. Please initial that you have read these terms and Agree to this Photo/Video release Agreement.
Full Name
Physical Activity Agreement
Your dog spends a good amount of time in the outside world doing lots of things around lots of natural objects, dirt, grass, cement, trees, fencing, bushes, swimming, interacting with lots of other dogs, and humans. It is likely that your dog is going to get scratched, bumped, or bruised. Your dog will most likely get some wear and tear on him/her. Imagine when you went to summer camp for a few weeks, you get a little banged up from all of the activities. Things are bound to happen even though we have taken special care in dog supervision and maintaining a high standard of safety and cleanliness. As Owner, you acknowledge and understand that there are certain risks involved in pet training, boarding, and care. You release, indemnify, and agree to hold Lucky Paws harmless from any and all manner of damages, claims, loss, liabilities, costs or expenses, causes of actions or suits, whatsoever in law or equity, (including, without limitation, attorney’s fees and related costs) arising out of or related to the services provided by Lucky Paws. As Owner, you acknowledge and understand that there are certain risks involved in pet training, boarding, and care. You release, indemnify, and agree to hold Lucky Paws harmless from any and all manner of damages, claims, loss, liabilities, costs or expenses, causes of actions or suits, whatsoever in law or equity, (including, without limitation, attorney’s fees and related costs) arising out of or related to the services provided by Lucky Paws.
Full Name
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