New Client Form

We are excited to get to know you and your dog and work together to come up with a plan that enables you to find harmony in your life together.

Please answer the following questions as honestly and specifically as you can.

The more accurate and comprehensive our information, the more effective we can be in helping you and your dog get headed down the right path.

Dog's Name:

Dog's Breed/Mix (best guess is fine):

Dog's Age:

Dog's Weight:

Male/Female:

Spayed/Neutered:

Any known health issues/allergies:

Name of Vet/Clinic and date of most recent visit:

How long has this dog lived in your household and from where did you acquire him/her:

Primary Guardian Name:

First Name

Last Name

Secondary Guardian Name:

First Name

Last Name

Best Email Contact:

Best Phone Contact:

(###)

###

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Home Address:

Are there additional humans or pets living in the home?

Why did you decide to seek professional training help?

How does your dog typically respond to people who are not members of your household? Please describe the dog's response both inside and outside the home.

Has your dog ever injured a person? If so, please describe the situation and location/severity of injury.

Does your dog display “guarding” or aggressive behavior around any of the following: doors/thresholds; food; people; furniture/bed; objects; toys; space (areas of the home, home in general, etc)?

How does your dog typically respond to other dogs who are not members of your household?

Has your dog ever injured another dog? If so, please describe the situation and location/severity of injury:

Please list your 3 favorite things about this dog (feel free to elaborate or add more):

Has your dog received any previous training? If so, please describe.

How has this dog been rewarded for good behaviors in the past?

Has this dog been punished for unwanted behaviors in the past? If so, how?

Has this dog ever worn a corrective collar? If so, what kind?

Is there anything else you'd like us to know?

Let us know how you found us!

Please read and sign below.

This training form is 100% confidential. Dog Possible, LLC promises not to share any information listed here with outside parties not directly involved in your dog’s training and/or care. When working with your dog, we pledge not to use fear or pain to influence your dog’s behavior. In committing to train with us, we ask that you also refrain from using fear or pain to influence your dog’s behavior. In entering into a formal training partnership, you the undersigned Releasing Party agree to the following Waiver of Liability and Informed Consent Release: I, the Releasing Party and the undersigned, have enrolled myself and my dog in training classes, private consultations, workshops or other related activities offered by Dog Possible, LLC, The Released Party. By signing hereunder, I certify that I have been informed and understand that there is always some unavoidable risk of injury involved when working with animals, especially animals with behavioral issues. I acknowledge that dogs can be inherently difficult to control and that not all dogs will be under control at all times resulting in the possibility of injury to myself, my dog, my family members, or third parties. Additionally, I have had full opportunity to discuss all concerns I have about the foregoing risks with Dog Possible, LLC and its authorized representatives. I have also made all inquiries and investigations to my satisfaction related to such risks. I hereby accept and assume, without reservation, all risks associated with my participation in this training partnership, including, but not limited to: the risks of any and all injuries to myself, my dog and any of my family members or third parties who may attend; the risks that my dog may cause injury to other persons and/or dogs while training. As lawful consideration for participating in the classes, I, for myself/my organization, my heirs, executors, administrators, legal representatives, and successors hereby waive, release, discharge and agree not to sue and to indemnify, defend and hold harmless Dog Possible, LLC and their trainers, members, managers, agents, and employees from any and all injuries, losses, claims and damages to any person or persons of any nature whatsoever, including claims arising from the Released Party’s own negligence, and all costs associated therewith, including attorney’s fees, court costs and consultant fees, arising from my participation in this training partnership. This Waiver of Liability & Informed Consent Release shall be legally binding on the Releasing Party. Should the Releasing Party assert a claim to the contrary to what has been agreed to in this Waiver of Liability and Informed Consent Release, the claiming party shall be liable for all expenses (including attorney’s fees, court costs and consultant fees) incurred by both the Releasing Party and the Released Party. No waiver or modification of any provision herein shall be valid unless expressly agreed to in writing by both the Released Party and the Releasing Party. Every provision herein is intended to be severable. If any one or more of the provisions herein is found to be unenforceable or invalid, that shall not affect the other terms and provisions hereof, which shall remain binding and enforceable. I, the Releasing Party, give consent for my dog’s image to be used by Dog Possible, LLC in their social media, website, and marketing materials and for the training hours with my dog to count towards my trainer’s advanced accreditation program. If signing for an organization such as but not limited to a shelter, rescue group, or non-profit, I certify that I have legal right and standing to enter into a binding contract as the Releasing Party representative for my organization. Signature below.

Check here to indicate you have read and agree to the above.