First Name *

Last Name *

Email *

Phone *

Secondary Phone Number

Address

City

State

Postal code

Dog's Name *

Dog's Breed *

Dog's Age *

Dog's Gender

Dog's Weight

Is your dog fixed?

Desired Service *

Emergency Contact's Name

Emergency's Phone Number

Vet's Name

Medical Information

Does your dog have any allergies?

Yes

If yes, list allergies here

Does your dog take any medications?

Yes

If yes, please list: medication, dose and time of day given

WE REQUIRE EVERY DOG WHO ENTERS THE CENTER TO HAVE VACCINATION RECORDS.

Please upload your dog(s) Vaccination History Record(s). (Max file size is 2mb, please submit files in one of these formats pdf, jpg, or doc.) Your dog needs to be up-to-date on the following vaccinations: *Rabies *Bordatella *Distemper *Fecal Float (to test for parasites)

Proof of Rabies Vaccinations

Please upload a picture of your dog's most recent vet records.

Proof of Bordetella

Please upload a picture of your dog's most recent vet records.

Does your dog obey commands?

Has your dog been trained before? If yes, how and where?

Is your dog house-trained?

Has your dog ever been in a dog fight?

Has your dog ever bit another dog, human, or child? If so, please specify.

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 people try to take his/her toy away?

Does your dog growl when you try to move him/her off furniture?

Does your dog have accidents in the crate?

Does your dog have high prey drive?

Has your dog injured or killed small animals?

Do you have anything to add about your dog's behaviors? If your dog exhibits any aggressive behavior, please provide details regarding his/her behavior.

What are your training expectations?

If your dog will be boarding with us, please let us know if he/she has any specific boarding needs.

How many lessons?

Boarding clients only: On which date would you like your dog to complete boarding?

Time

Brand of dog food

General Policy

General Policy #1: Follow My Lead Training will endeavor to create as safe an environment as possible for the training and boarding care of the dog(s) identified above (the “Dog”), and will offer only sound, safe, a

General Policy #2: Follow My Lead Training agrees to indemnify and hold Owner harmless from and against any claims of injury, expense, costs, loss or damages caused by the gross negiligence or willful misconduct of Follow My Lead Training while the Dog is in the so

General Policy #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

General Policy #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 Prong Collar, Bark Collar, Remote Training Collar, Slip Lead, Pet Convincer, Muzzles

Have you watched the video at the top of this page about the tools I use?

Yes

Payment & Cancellation Policy

Payment Policy: In order to reserve your dog's Board & Train program, you must pay 100% of the fee in full. You will receive an invoice for your dog's training program; we only accept payments via Quickbooks.

Cancellation Policy: If the client chooses to not continue training after receiving approximately 50% of services, a refund will not be issued. If we do grant a refund, it is because we are making a one time exception to our general rule of not issuing refunds. If the trainer feels that the client will not listen to training advice or follow instructions, Follow My Lead can, at our sole discretion, choose to cancel the training contract and issue a partial refund.

For Board and Train: The total Board & Train fee includes a $500 non-refundable deposit. The remainder of the Board & Train fee is 100% refundable up until 30 days prior to your dog’s scheduled drop-off date. If you cancel your Board & Train program between 15-30 days there will be no refund.

E-collar: We are happy to provide an Educator E-collar on the first day of Board & Train. The e-collar cost ranges from $199 to $329, depending on the model your dog needs.

By selecting "Yes" you agree to the terms outlined above in the General Policy & Payment and Cancellation Policy *

Yes

Please initial that you have read these terms and Agree to this Payment & Cancellation Policy *

Clear

Please date your initials *

Board and Train dogs will be picked up & dropped off by the client unless other arrangements have been made. All Board & Train programs include 4 hours of private training at our facility. The 4 hours typically works out to: (1) 2-hour mid-training session; (1) 2-hour pick-up training session. At the mid- and pick-up sessions, we will go over all that your dog has learned and work with you on how to start implementing the training into your daily life. Follow-up lessons are provided to help ease the transition of your dog back into your home and to help you maintain the high standard for behavior we have at our kennel. When bringing your dog for a Board and Train, all we need is your dog's food and any medication your dog needs, including flea/tick and/or heart worm (only if they need to be given to your dog while your dog is with us.) Do NOT bring any bedding, toys, water/food bowls, treats or bones! Drop-off Agreement: When dropping

Please initial that you have read these terms and Agree to this Pick-up/Drop-off Agreement. *

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Please date your initials (Pick-up/Drop-off Agreement) *

Physical Activity Agreement:

Your dog will be staying at a home kennel and not living in a padded room. 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 designing our facility 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 Follow My Lead Training harmless from any and all manner of damages, claims, loss, liabilities, costs or expenses, causes of actions or suits, whatsoever

Please initial that you have read these terms and Agree to this Physical Activity Agreement. *

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Please date your initials (Physical Activity Agreement) *