New Student Profile Form

Name *
Name
Address
Address
Phone
Phone
Other Phone
Other Phone
Neutered/Spayed?
May we share your training & behavior report with your veterinarian?
I will provide copy of proof of up to date Rabies Vaccination by email or paper copy at the first session.
If yes please explain. This includes a transport to the shelter or organization you adopted from.
Equipment I currently use *
Methods I currently use or have tried in the past on this dog *
Write %: For example, 50% outside, 50% inside.
Please check off traits which apply to your dog
Policies and Liability
Required
Payment Policy *
Payment made by cash or check at registration or at beginning of session(arrangement made in advance). By checking the box below I have read, understand, agree to the above.
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.
Liability Waiver *
Sea Change Canine llc, Sarah Becker owner, will endeavor to create as safe an environment as possible for the training of my dog and will 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 at all times and I hereby agree to indemnify and hold harmless Sea Change Canine llc, Sarah Becker, owner, of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Sea Change Canine llc, Sarah Becker owner, instruction or control and under my own care as a result of following training instructions. I have been told by Sea Change Canine llc, Sarah Becker owner, and understand the inherent risks of owning a dog,including but not limited to the risk of dog bites to myself or others. By checking the box below I fully I have read, understand and agree to the above.
Property Policy *
Cancellation and Refund Policy *
Cancellations are offered until 48 hours prior to the scheduled session start date. A cancellation with 48 hours prior results in a make up session that must be scheduled and used within 30 days( Session does not automatically apply to the same time the following week) To offer individualized attention no refunds or session reschedule will be offered if cancellation is less than 48 hrs, or a no-show. By checking the box below I fully I have read, understand and agree to the above.