Pawsitive Approach LLC, @ Animal Assisted Therapy Services

Registration Renewal Form

4 Oxford Road, Building D, Suite 5/6, Milford, CT 06460

(203) 699-6DOG

For questions please contact: evelia.rivera@aatsct.org

POLICIES AND GUIDELINES

Enrollment:

No one may participate in any Pawsitive Approach LLC/AaTs activities until the following mandatory forms are filled out, signed, and dated by the appropriate party. By completing this online registration form, all of the following except for #4 are being completed. Please bring or fax a copy of your rabies certificate before the start of the first class.

1.     Registration and Release Form

2.     Authorization for Emergency Medical Treatment

3.     Photo/Video Release Form 

4.     Copy of rabies certificate. 

Our staff is available for consultation throughout the application process and at any time during the program session. Please call with any questions, concerns, suggestions, or comments.

Attendance:

Regular attendance is expected from all participants. There are NO refunds for missed lessons.

Participants who must be absent should notify the office by phone or email 24 hours in advance.

In the event of unforeseen circumstances such as inclement weather or teacher illness, all reasonable attempts will be made to notify clients at least two hours prior to a schedule change. In the event that a lesson must be cancelled, the client will receive a make-up lesson.

Payment:

All payments are due prior to the first lesson of the session via paypal (available at the end of this registration form), check (payable to PAWsitive Approach, LLC), Venmo, Zelle, or cash. 

Contact Information

Dog Information

Class Information

Liability Release

I, (name of individiual listed below), would like to participate in Animal Assisted Therapy Services program. I acknowledge the risks and potential for risks of working with animals, including the potential for bodily harm. However, I feel that the possible benefits are greater than the risk assumed. I hereby, intending to be legally bound for myself, my heirs and assigns, executors, and administrators, waive and release forever all claims for damages against Animal Assisted Therapy Services, its Board of Directors, Instructors, Aids, Volunteers, and/or Employees for any and all injuries and/or losses sustained while participating in the program from whatever cause including but not limited to the negligence of these released parties.

The undersigned acknowledges that he/she has read this Registration and Release Form in its entirety; that he/she understands the terms of this release and has signed this release voluntarily and with full knowledge of the effects thereof. 

I AUTHORIZE ANIMAL ASSISTED THERAPY SERVICES (AaTs) and PAWSITIVE APPROACH, LLC (PAL), and any person acting on AaTs’s behalf, to take my photograph, or to create a video or audio recording of me, and to use that photograph or video or audio recording, or to use a photograph or video or audio recording previously taken by AaTs/(PAL), for AaTs/(PAL) business purposes. I understand that AaTs’s business purposes include, but are not limited to, the creation of AaTs(PAL)-sponsored publications, educational materials, and external marketing. I acknowledge that I am not a professional actor and am not generally known to the public. I understand that any photographs or video or audio recordings created by AaTs(PAL) are AaTs’s(PAL) property. I understand I will not be compensated for such photographs or video or audio recordings.

I hereby irrevocably authorize AaTs(PAL), or any person acting on its behalf, to edit, alter, copy, exhibit, publish or distribute any photograph or video or audio recoding of me for the purposes described above. In addition, I irrevocably consent to such use or disclosure without my prior inspection or approval of the finished product including written or electronic copy, wherein my likeness appears. 

I understand that AaTs/(PAL) is not responsible for any use or disclosure of any photograph or video or audio recording of me not authorized by AaTs/(PAL). I hold AaTs harmless from any loss, damage or injury resulting from any such unauthorized use or disclosure. 

While we prefer payments made through PayPal we are happy to acommodate those who wish to pay by cash or check. If choosing to pay with check, please make payable to Evelia Rivera and have the payment for the full amount available at the start of the first class.

If you've recently partnered with a local shelter to adopt a dog, please use the FIRST CLASS FREE coupon code provided by the shelter.

Thank you!

IMPORTANT

In order to ensure that we meet capacity for our classes, we require payments in full before the class begins. If you plan on paying by cash or check, please have the payment ready at the start of your first class otherwise participation will be revoked.

If you need to cancel the series before the first class, a refund can be made available but cancellation notice must be given 48 hours in advance of the first class session. Refunds are not granted after this point.