In-Home Training

Owner Information

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Postal Code *

Parking Info

Are you military, nurse, teacher or veteran? *

Dog Information

Vaccination Records

Please Upload your Vax records

Dog Name(s) *

Dog's Weight *

Dog Breed(s) *

Dog's Age *

What does your dog need? *

Please check off all that apply *

Please give us more details about your dog's behavior. *

Has your dog growled, snapped or bitten anyone in the household?

Has your dog ever shown aggression towards people? *

If YES, please explain

Is your dog aggressive towards other dogs? *

Availability *

Other availability explained

How did you hear about us? *

By submitting this form, I am providing my digital signature agreeing that may email me or contact me regarding services by telephone and/or text message utilizing automated technology or a pre-recorded message at the telephone number(s) provided above. I understand this consent is not a condition to purchase services or other goods. Calls may be recorded for quality assurance.I understand that there are inherent risks associated with training, boarding, socializing, walking and working with dogs in general. I assume any and all responsibility for myself and my dog(s) during training, boarding, walking and any other work with Pack Leader Help LLC, assuming due diligence and care have been exercised. I will not hold Pack Leader Help LLC, Brianna Dick and any affiliates or property owners responsible for any injuries or misfortunes (to or by me or my dog) while training, boarding, walking or any other work, should they occur. I further understand that due to the way that dogs interact with one another, cuts or scratches can occur to me or my dog, even though the dogs are carefully supervised. I also understand that my participation in any of these activities is not without risks such as tripping, falling, getting knocked down and jumped on, bitten, scratched, etc. I also understand that in enrolling my dog(s) into any of Pack Leader Help LLC programs, that Pack Leader Help LLC has relied upon my representation that my dog(s) are in good health and have received the necessary vaccinations (or equivalent alternatives) as agreed upon by my veterinarian. If my dog becomes injured or ill, Pack Leader Help LLC shall have the right to call my veterinarian as designated on the Online Request Form. In the event of an emergency and my designated veterinarian is unavailable, Pack Leader Help LLC has the right to take my dog(s) to the nearest animal hospital for immediate care. I agree to reimburse, in full, Pack Leader Help LLC for any medical expenses accrued while under the supervision of Pack Leader Help LLC. Pack Leader Help LLC will not be held responsible for any decisions made by the veterinarian on the dog’s behalf. I hereby release and agree to save and hold harmless, Pack Leader Help LLC, Brianna Dick, any affiliates or property owners from any and all liability, claims, suits, actions, loss, injury or damage of any nature or kind, or for any liability, claims, suits, actions, loss, injury or damage which I or my dog(s) may sustain or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully indemnify Pack Leader Help LLC, Brianna Dick any affiliates or property owners for any and all such liability, claims, suits, actions, losses, injury or damage. I understand that I am solely financially responsible for any damage or harm caused by my dog during training, boarding, socializing, or walking. I hereby agree to allow any picture, video or recording taken in the course of boarding, walking or training session to be used, posted and advertised by Pack leader Help LLC. I take it upon myself to ask questions and use my own common sense. I understand that I do not have to do anything or allow anything to be done that I do not feel comfortable with. I agree to release ant rights to media including pictures, video, audio or otherwise for Pack Leader Help LLC to use, post on social media or use in any personal or commercial capacity. I hereby agree to all the payment terms and conditions listed in email correspondence and listed on Pack Leader Help LLC’s website. I certify that I have read and understand the rules and regulations set forth herein and that I have read and understand this agreement. I agree to abide by the rules and regulations and accept all the terms, conditions and statements of this agreement and confirm the truthfulness of the contents of this release form completed by me.