Dog Enrollment - Thinking Dogs

Owners Name*

Owner Address

Street Address City State ZIP Code

Owners email*

Dogs Name*

Date of Birth*

Gender*

Primary Breed*

Secondary Breed

Is your dog spayed or neutered?*

Previous training history (Please state any of your dog's previous training and location of training.)

Primary Behavior / Training Issues (Please provide your dog's behavior and or training issues)

Has your dog ever bitten anyone?*

What are the circumstances if your dog bit someone?

How many additional pets are in the home?

Veterinary Clinic Name and address

Vet's Phone number

Please provide details on your dogs current vaccines

Provide vaccine name and expiry date

Current medications

Reason for meds

Important medical history

Liability Waiver*

I have read and understand the Liability Waiver for the classes.

Thinking Dogs LLC will endeavor to create as safe an environment as possible for the training of my dog and will offer only sound, safe, and responsible training and training instructions. However, I recognize that Thinking Dogs LLC is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times and I hereby agree to indemnify and hold harmless Thinking Dogs LLC of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Thinking Dogs LLC’s instruction or control and under my own care as a result of following training instructions. I have been told by Thinking Dogs LLC and understand the inherent risks of owning a dog, including but not limited to the risk of dog bites to myself or others.

Photo / Video Release

I have read and agree to the terms below

I grant permission to Thinking Dogs LLC and its legal representatives and assigns, the irrevocable and unrestricted right to use, publish and broadcast my photograph(s), likeness and voice for trade, advertising, and any other purpose and in any manner and medium; and to alter the same without restriction. I hereby release Thinking Dogs LLC and its legal representatives and assigns from all claims and liability relating to said photograph(s), likeness and voice.

Thinking Dogs LLC uses MailChimp to keep clients up to date on class times, locations, and cancellations. Do you agree to receive notices from MailChimp?*

Yes
No