Board and Train Form Todays Date: MM DD YYYY Name: * First Name Last Name Email: * Home Phone: (###) ### #### Cell Phone: * (###) ### #### Emergency Contact: Name and Relationship to you: * Emergency Contact: Phone Number: * Will you be out of the state of Maryland while your dog is with us (If so where will you be): * Your Home Address: Address 1 Address 2 City State/Province Zip/Postal Code Country Family member's names and ages (if under 18): Dog's Name: * Dog Breed: * How much does your dog weigh?: * Gender: * Male Intact Male Neutered Female Intact Female Spayed Dog's Birthday: * MM DD YYYY Where did you get your dog?: How long have you had your dog?: * Vet Information: Veterinarian Practice Name: * Vet Information: Phone Number: Vet Information: Address * Please indicate the date your dog is due for DHLPP * MM DD YYYY Please indicate the date your dog is due for Rabies * MM DD YYYY Please list the behaviors you would like worked on during the immersion program: * Car: How do you currently ride with your dog in the car? * Car: Is your dog crated, seat-belted, or loose? * Car: How is your dog's behavior in the car? * Crate: Is your dog crated at night? * Crate: Is your dog crated when left unattended? * Crate: Where is your crate located? * Crate: Do you cover the crate with anything? * Crate: Can your dog have bedding in their crate? * Exercise: What schedule is your dog on for exercises? * Exercise: How many times a day? * Exercise: For how long? * Training: What tools do you currently use (prong, harness, gentle leader, flat buckle collar) and are they effective? * Training: Does your dog or will your dog use an invisible fence? * Training: What side do you walk your dog on? * Health: Do you trim your dog's nails at home? * Health: How is their behavior during the nail trim? Is this an area that you would like addressed during the training program? * Health: Does your dog have any medical conditions? * Dog Food: What kind of food does your dog eat? * Dog Food: How much do you feed per day? * Dog Food: Does your dog eat 2 times a day? * Dog Food: About what times? * Dog Food: Any known allergies? * Schedule: What time do you usually take your dog out at the end of the night? * Schedule: What time do you take your dog out in the morning? * Schedule: Is your dog on a regular schedule for elimination (ie. twice a day at 7am and 6pm)? * How did you hear about Paws and Possibilities? * Welcome! We are so pleased that you have chosen Paws and Possibilities, LLC, as your access to creating the relationship with your pet that you have always dreamed of having. During the training process, you can expect to learn how to communicate effectively with your pet and we will create simple plans to address your unique situation. We know that you have a choice when it comes to animal trainers, and we appreciate your business. If, at any point in the training process, you are not satisfied with the process, please let us know so that we may remedy the situation. It is our goal to exceed your expectations. Most of our business comes from you referring your family, friends and neighbors. If you know anyone who you think would benefit from our training program, we appreciate you passing along their information to us so that we may contact them. • Board & Train Rescheduling and Refund Information: Life brings surprises, and we're here to help you navigate them! (More than 10 days before your drop-off date, Reschedule: No problem- just a $100 fee. Refund: $10 administrative fee plus 5% of the total charge) , (Less than 10 days before your drop-off date: Reschedule: $1040 rescheduling fee Refund: $1040 rescheduling fee + $10 administrative fee plus 5% of the total charge) • Liability Disclaimer: Animals are unpredictable. I hereby agree to indemnify and hold harmless Paws and Possibilities, LLC, its owner, employees, and agents from all claims, or claims by any member of my family or any other person accompanying me at any training sessions of Paws and Possibilities, LLC, thereto as a result of any action by any dog, including my own. • Copyright Protection: I hereby agree not to copy or to release to any other persons the training materials and handouts that are given to me as a client of Paws and Possibilities, LLC, and I fully understand that all written material from Paws and Possibilities, LLC, is copyrighted and is protected under the copyright laws. • Abandonment Clause: Dogs abandoned more than 3 days past pickup date without prior communication, may be turned over to local animal control and subject to local ordinances for abandoned dogs. • Health Clause: Despite our rigorous attention to cleanliness and overall hygienic practices, we can certainly not guarantee that pets who stay with us will not get sick or injured. Furthermore, testing and treatment of illness remains the financial responsibility of the pet owner, as always. • Vet Release: A representative of Paws and Possibilities, LLC, has permission to seek veterinarian care for my dog(s). Every effort will be made to contact the dog’s owner if there is a concern. If a representative of Paws and Possibilities, LLC, cannot reach the owner, the representative will seek appropriate medical attention. Medical expenses are the owner’s responsibility. • I agree and accept the information stated in this agreement. * I have read, understood, and agree to all of the terms and conditions listed above including the refund policy, liability disclaimer, copyright protection, abandonment clause, health clause, and vet release. Thank you so much for filling out your Board and Train form!If you've already spoken with us and confirmed everything, you're all set and we’re looking forward to your dog’s stay.If your Board and Train dates haven’t been finalized yet, a team member will be in touch shortly to go over next steps and get everything scheduled.If you have any questions in the meantime, please feel free to reach out! Have A Question? Book a Free Consult Call
