When did you become guardian of thie dog? (weeks, months, years?)
If you checked No for providing proof of current vaccines and Rabies Vaccination, please explain ( we have the right to refuse entrance to class if dog poses a risk to others)
Does your dog have any dietary restrictions, allergies, or any physical limitations or medical problems? If yes, please describe.
Anything else we should know about your dog?
If you answered yes to Bite history, please explain.
What days or times can work for you?
Policies and Liability
Payment must be received at time of registration or at first class. By checking the box below I have read, understand, agree to the above.
In order to keep classes small, refunds are only given to cancellation made 72 hrs before the start of the first class of the series. No refunds for cancellation, no show or missed class after the series has begun. Mutliple no show no call is considered a quit from class. In certain extenuating circumstances, we can possibly offer a make up session or alternative (depending on availability) . This is not a guarantee.
Photography and Video Release Authorization Form
From time to time, photos and videos may be taken of students/event participants and their dogs during private and group dog training classes, practice sessions, demos, presentations and events organized by Sea Change Canine LLC. Sea Change Canine LLC reserves the right to use these photos and videos for educational and marketing purposes, its website, presentations, etc. By checking the box below, I hereby grant permission to Sea Change Canine LLC to use photos and videos of myself, my family and my guests as well as my dog(s) for the publications listed above.
I disagree, but understand a photo of my dog will be taken for internal records.
By checking the box below, I, owner/handler understand Dog’s are to be on-leash and in control at all times unless otherwise instructed. I will clean up after my dog.
I, the owner/handler am ultimately and always responsible for the dog’s safety and the public’s safety, and that as an owner/handler assume 100% responsibility for the dog and the dog’s actions at all times. I as owner/handler will compensate Sea Change Canine LLC, Sarah Becker owner, any damages and costs of a claim, as well as attorney’s fees in the event of a third party lawsuit. By checking the box below I have read, understand and agree to the above.
There is no smoking , alcohol or drug use permitted on the property. Sea Change Canine LLC, Sarah Becker owner, reserves the right to decline entry to any dog or owner who presents a behavior issue that may be overly dangerous, disruptive, or that may be exacerbated by participation in a group class. If the class instructor determines the group class environment is not suitable for your dog or the owner, you will receive a pro-rated refund for the class. We welcome all friendly dogs. For safety reasons, females in estrus cycle may not attend class.
By checking the box below I have read, understand and agree to the above.
Sea Change Canine LLC and Sarah Becker owner, will endeavor to create as safe an environment as possible for the training of my dog and will endeavor to offer only sound, safe and responsible training and training instructions. However, I recognize that Sea Change Canine LLC Sarah Becker owner is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service .
Further, I am and will remain responsible for the actions of my dog of my dog at all times. I hereby agree to abide by the rules and policies of Sea Change Canine LLC training classes as set forth in this contract. I understand that attendance of dog training classes not without risk to myself, members of my family , guests who may attend,or to my dog. In consideration of and as inducement to the acceptance of my application for training membership in this training class, i hereby agree to indemnify and hold harmless Sea Change Canine llc, it’s officers directors, instructors, agents , employees and /or representatives of any and all claims, or claims by any member of my family, or accompanying guests of min of injury , expense, costs or damages to any dog handlers or dogs, whether sponsored by me or not, or to third parties arising out of my own actions or the actions of my dog. I have read the above stated provisions, and agree to accept those responsibilities.
This contract is validated by checking the box below and is approval for future services without additional written authorization. By checking the box below I have read, understand and agree to the above.
Thanks for taking the time to complete this form. The information will help us determine the best course of
action for you and your dog.