Continuing Education Application

If you are a returning Continuing Education Client and your address and vet info have not changed, please fill out our Return Client form HERE.

Client Name

Client Street Address

Client City, State, Zip

Client Contact Phone Number

Client Email Address

Dog Name

Dog Breed

Dog's Aprox. Age and Weight

Requested Start Date of Stay

Drop Off Time (Drop offs before Noon will be charged an extra night)

Requested End Date of Stay

Pick Up Time (Pick Ups after 6pm will be charged an extra night)

Is Your Dog Spayed/Neutered?

Select One Yes No

Is your dog housetrained?

Select One Yes very reliable Mostly still training No

Is your dog Crate Trained?

Select One Yes No If none of above explain in "Additional Notes" below

How does your dog do with other dogs?

Select One Does great with other dogs No exposure to other dogs Not good with other dogs Needs supervision during play with other dogs

Is your dog okay with kids?

Select One Yes No

Is your dog okay with cats?

Select One Yes No

How is your dog affiliated with Dog Training Camp?

Select One Completed Training Camp Currently Enrolled in Group Classes Had a Private Consult with a Trainer Completed Group Classes Within the Past Year Completed Group Classes More than a Year Ago Other: Explain in Additional Notes Below

How Often Does Your Dog Eat?

Select One Once in Morning Once in Evening Twice a Day Three Times a Day

How Much at Each Meal?

How Many Hours is Your Dog Typically Alone?

Additional Notes For Us

Vet Name

Vet Phone Number

I authorize Dog Training Camp to take my pet to the above named veterinarian for veterinary care if, in their opinion, care is needed and I will be responsible for payment for treatment. If it is an immediate emergency and my regular clinic is not open or it is a matter of life or death of the pet, I give Dog Training Camp the authority to take my pet to the nearest emergency clinic and I assume all financial responsibility for any bills incurred up to the amount authorized below. I also understand that Dog Training Camp will be released from all liability related to the treatment, expense or loss of my pet.

I authorize Dog Training Camp to approve treatment up to: (provide $ amount)

Is your dog up to date on all vaccines?

Select One Yes No

Date of Last Flea Prevention Medicine (*If fleas are found while dog is with us, we will treat the dog at the owner's expense unless directed otherwise)

Date of Last Heartworm Prevention Medicine

Is your dog on any medications currently? If yes, provide name and dispensing instructions.

I authorize Dog Training Camp to dispense medications as directed above.

How did you hear about our program?

May we have your permission to use class/consult photos and/or videos in our marketing program?

Yes No

I understand that training is not without risk to my dog. I hereby waive and release Dog Training Camp, its officers, employees, owners, members, contractors, and agents from any injury or damage resulting from the action of the dog, and I expressly assume the risk of any such damage or injury while attending any training session, or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training I hereby agree to indemnify and hold harmless Dog Training Camp, its officers, employees, members, contractors, agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or while on the grounds or surrounding area thereto as a result of any action of any dog, including my own.

Submit

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