ENRICHMENT APPLICATION Owner's Name * First Name Last Name Dog's Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### How old is your dog? * Your dog's birthday or gotcha day: * MM DD YYYY Breed: * Dog's gender: * Male Female Spayed/Neutered? * Yes No Does your dog currently attend day care? If so, which one and how often? * Does your dog have any allergies? * How comfortable is your dog in a crate? * Who is your veterinarian? * What days can you attend enrichment? List the days in order of preference (NOTE: Wednesdays have very limited availability) * Are you a current or past Red Beard client? * Does your dog have a bite history, or have displayed aggression with humans or dogs? * Has your dog displayed any resource guarding with food or toys in the past? * Do you have specific goals that you'd like to meet by enrolling in this program? If so, please describe below. * Check any enrichment activities your dog would be interested in. Please select at least 3. * Agility Scent work Walking alongside Bike/One-Wheel Skateboarding Foraging Socials with dogs Structured tug Walking Balance boards/balls Tricks Liability Release Form * - Red Beard Dog Training, LLC (herein known as Trainer) shall provide professional consultative and instructional services for the dog(s)’ owner(s); handler(s) (herein known as Client), consisting of teaching canine behavioral theory, dog and leash handling, basic commands, humane corrections, positive praise, and/or recognition of undesirable canine behavior and administration of proper behavior modification techniques. - Client, on behalf of himself/herself and any other person handling the dog during training, hereby waives any and all claims and causes of action he or she may have and releases Trainer from any and all claims, damages and/or liability he or she may have or which may accrue during the course of training, including any injury or illness to the dog, which are caused by any factor whatsoever, including, without limitation, fire, disease, illness, virus, escape, theft, death, or any other cause. Client agrees to indemnify and hold Trainer harmless from any and all injury, claims damages, awards or causes of action which accrue as a result of any injury or damage caused by Client’s dog biting, scratching, clawing, or otherwise attacking any other person or animal. Client shall be solely responsible for the health and physical condition of the dog and specifically acknowledges such a responsibility and releases Trainer from any claim relating to the same. -Client understands that Trainer reserves the right to terminate this agreement at any time and fully refund my money without any further liability or obligation to client. -Trainer is not liable for any injuries sustained by Client dog or veterinary expenses in the event of a dog(s) injury, including but not limited to, hot spots, allergies, or skin conditions of any kind. - Client vows to follow leash laws and other ordinances of my city/town regardless of dog’s off-leash capabilities. - Client consents to using a muzzle on my dog during training if the trainer deems it necessary for the safety of other dogs and people. - Client agrees to allow Trainer to use its dog’s name and any images or likeness of the dog, including photos or videos of the dog taken while it is training, in any form or format, for use, at any time. - Client understands and agrees that not all dogs are trainable to the same extent, and that the ability to train a dog to an acceptable level of performance may be dictated by factors beyond the control of Trainer. Such factors may include, but are not limited to, age, previous conditioning, breeding, physical and psychological health, individual temperament, length of training schedule, and Client involvement. Trainer shall not be held responsible for poor dog training performance due to limitations beyond the control of Trainer. - Client acknowledges that Trainer may use e-collar, prong or pinch collars, slip leashes, harnesses and training long lines as tools for dog’s training. - Client agrees to make payment in full before training begins. All dogs enrolled in board and train will require non-refundable $500 deposit to secure training start date. Additionally, all dogs must be up-to-date on vaccines before attending any training. I agree to the above. Thank you!