Name
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First Name
Last Name
Email
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Phone
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(###)
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Dog's Name and Age
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Dog's Breed or Mix
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Dog's Gender
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Female
Male
Is your dog spayed/neutered?
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Yes
No
How long have you had your dog?
What is your FAVORITE thing about your dog? :)
How does your dog handle meeting new people?
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Preferred availability for sessions
Weekdays (Mon-Fri, 11am-4pm)
Weeknights (Mon-Fri, 4pm-7pm)
Weekends (Sat/Sun, 11am-4pm)
What are your goals for training with your dog?
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Do you or your dog have any previous training experience?
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Is your dog on any medications or supplements? Any health issues?
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Does your dog have a bite history? *If so, please explain in detail below:
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How did you hear about River City Dog Training?
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Google
Yelp
Friend/Family/Coworker (please let us know who referred you - they will get a gift!)
I'm a Foster parent for Lab Rescue of Greater Richmond
Adopted a dog from Lab Rescue of Greater Richmond
Flyer in Richmond
Did someone refer you to RCDT? Put their name below:
How much exercise and mental stimulation does your dog get per day?
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NEXT: SIGN WAIVERS
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WAIVER OF LIABILITY
As a condition to working with River City Dog Training, you must sign the following agreement:
I understand that working with animals has inherent risks. As legal owner of my dog, I hereby waive and release River City Dog Training, its owners, employees and agents, and anyone otherwise affiliated with, from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session, function or activity or while on the grounds or the surrounding area thereto. I hereby agree to indemnify and hold harmless River City Dog Training and its owners, employees and agents, from any and all claims, or claims by any member of my family or any other person accompanying me to any training session, function or activity of River City Dog Training or while in any location where training is taking place, there to as a result of any action by any dog, including my own. Further, should any action on my behalf, or on behalf of my dog result in any damage or injury to others, I agree to be held responsible, and will actively participate in the resolution.
I authorize River City Dog Training to do whatever they deem necessary for the safety, health, and well-being of my dog while under the care of River City Dog Training, including seeking professional veterinary treatment for my dog as deemed reasonably necessary by River City Dog Training in its sole and absolute discretion.
Due to the many outstanding benefits of dog socialization and River City Dog Training commitment to the safety and well-being of my dog, I agree that that the benefits of dog socialization outweigh the risks.
I understand that River City Dog Training has the right to refuse service to me and/or my dog at any time for any reason. I understand that if my dog has a history of or repeatedly demonstrates aggression or biting of humans or animals, River City Dog Training reserves the right to refuse service. I understand that all bites may be reported to the local authorities to the extent required by law.
PHOTO/VIDEO RELEASE
I hereby assign and grant to River City Dog Training the right and permission to use, reproduce, distribute, and/or publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training, grooming, boarding and/or care of my dog(s) by River City Dog Training, and I hereby release River City Dog Training from any and all liability resulting from such use, reproduction, distribution, and/or publication. I hereby authorize the reproduction, sale, distribution, copyright, exhibit, broadcast, and/or electronic storage of any and all such photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s), and/or sound recording(s) without limitation at the discretion of River City Dog Training, and I specifically waive any right to any compensation I may have for any of the foregoing.
Please sign this waiver and release form for our records. All information/records will be kept confidential.
First Name
Last Name