Board & Train Form

All fields marked with asterisks (*) are required before the form can submit.

"*" indicates required fields

Step 1 of 5

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Board and Train Start Date

MM slash DD slash YYYY

Name*

First Last

Email*

Phone*

Address*

Street Address City State ZIP Code

Dogs Name*

Sex of Dog*

Male

Female

Emergency Contact Name*

Phone*

Vet Name*

Vet Phone*

File

Shot Records Upload (optional)

Drop files here or

Max. file size: 50 MB.

Medications

Feeding Instructions*

Dietary Restrictions*

Yes

Please List Dietary Restrictions*

Behavioral Issues

Behavioral Issues*

Basic Obedience

Nipping

Jumping

Crate Training

Leash Pulling

House Training

Has Your Dog Ever Bitten A Person or Another Dog?*

Yes

Please tell us the nature of the bite and how it happened.

Does your dog obey commands?

Yes

Has your dog been trained before?

Yes

If you dog has been trained when and where was the training done?

Is your dog house trained?

Yes

Has your dog ever been in a fight?*

Yes

If your dog has been in a fight please tell us about it.

Has your dog injured or killed small animals?*

Yes

If your dog has been in a fight please tell us about it.

General Questions

Does your dog let you groom him/her or touch his/her nails?

Yes

Does your dog let you put on/take off collars?

Yes

Does your dog go into the crate?

Yes

Does your dog bark or growl in the crate?

Yes

Does your dog react negatively to touching/petting?

Yes

Does your dog have separation anxiety?

Yes

Is your dog aggressive when people approach his/her food?

Yes

Is your dog aggressive when people try to take his/her toy away?

Yes

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

Yes

Does your dog have accidents in the crate?

Yes

Does your dog have high prey drive?

Yes

I Don't Know

Please add any additional details regarding your dog's behavior here:

Contract

Signature*

American Canine Coach, LLC will endeavor to create as safe an environment as possible for the training and boarding care of your dog and will offer only sound, safe and responsible training, care and post-boarding training instructions. However, it is recognized that American Canine Coach, LLC is not responsible for any unintentional errors, omissions, or incorrect assertions. It is understood that the recommendations of any other products or service is not a guarantee of satisfaction with that product or service. It is fully understood that various tools and techniques which may include but are not limited to Prong Collars, Bark Collars, Remote Training Collars, Slip Leads, Pet Convincers, Muzzles, Flat Buckle Collars, Martingale Collars, etc. Further, you the owner will remain responsible for the actions of your dog at all times and hereby agree to indemnify and hold harmless American Canine Coach, LLC of any and all claims of injury, expense, costs, or damages caused by the actions of your dog while under the care of American Canine Coach, LLC and under your own care as a result of the following training instructions. It has been communicated by American Canine Coach, LLC and understood by the owner the inherent risks in owning a dog, including but not limited to the risk of dog bites to the owner or others. 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 American Canine Coach, LLC harmless from any and all manner of damages, claims, loss, liabilities, costs or expenses, causes of actions or suits, whatsoever in law or equity (including, without limitation, attorney's fees and related costs) arising out of or related to the services provided by American Canine Coach, LLC.

Signature*

I authorize emergency medical care to be provided for my dog(s) by the above-named veterinarian, or an appropriate alternate to be determined by American Canine Coach, LLC in the event that my regular veterinarian is not available or that closer care is required. I will reimburse American Canine Coach LLC for any charges related to emergency care. I authorizeAmerican Canine Coach, LLC to administer or seek First Aid and resuscitative care for my dog(s) as determined appropriate by American Canine Coach LLC and I agree to indemnify and hold harmless American Canine Coach, LLC for all and any results thereof.

Signature*

Photo/Video Release: I, the Owner hereby assign and grant to American Canine Coach, LLC the right and permission to use, reproduce, distribute and 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 and/or boarding of my dog(s) by American Canine Coach, LLC and I hereby release American Canine Coach, LLC from any and all liability resulting from such use, reproduction, distribution and 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 Buck's Dog Training of South Jersey, LLC and I specifically waive any right to any compensation for any of the foregoing.

Payment Policy:*

I Agree

Payment Policy: In order to reserve your dog's Board & Train program, you must pay 50% of the fee. The remainder has to be paid in full prior to or by the start date of your Board & Train. You will receive an invoice.

Cancellation Policy:*

I Agree

Cancellation Policy: Deposit is 100% refundable with up to one weeks notice, and 50% refundable with less than one weeks notice. Training canceled by owner during the training will not be refunded. If Trainer cancels training for any reason, owner will be refunded.

Pick-up/Drop-off Agreement:*

I Agree

Board and Train dogs will be picked up & dropped off by the client at a predetermined location unless other arrangements have been made. All Board & Train programs include up to 5 hours of private training at client's home or at Buck's Dog Training Facility. The 5 hours typically works out to: (5) 1-hour follow-up training sessions if needed. There is also an hour to two hour turnover at the Buck's Dog Training facility where we go over all the lessons and how to utilize the equipment.

FollowUp Sessions*

I agree

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 gained during the training.

Prior To Arrival*

I Agree

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.) Also if you wish to bring any bedding, toys, water/food bowls, treats or bones!

Upon Arrival*

I Agree

Upon arrival, your dog must be on a leash/collar setup from which they cannot slip out when going from your car to our trainer. Your dog may be nervous, scared, or excited, and any of those things can lead to your dog escaping the collar and running off or around the property, which is a safety issue for the dog, the staff, and other dogs on the property.

This contract is validated by the signatures below in total and as approval for future services without additional written authorization.

IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year first above written.

Signature

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