stay and train Service Agreement Name * First Name Last Name Address * Street Address Address Line 2 City * Email * Home/Cell Phone * Dog's Name * Breed * Dog's Age * Dog's Sex * Male Male Neutered Female Female Spayed MEDICAL HISTORY: Vet Office/Vet's name * Current health problems/Medications: * Yes No Please Describe Type N/A if this does not apply Past medical conditions/Treatment: * Yes No Does your dog have any allergies, including food allergies? * yes No Is your dog easily handled by the vet staff? * Yes No Has he/she ever had to be muzzled? * Yes No May we contact and discuss health and behavioral issues with your veterinarian? * Yes No DIET What type of food do you feed? (e.g., raw, dry kibble, canned) How often? How much? Does your dog finish all food at meals? Yes No HISTORY: Where did you obtain your dog? * Breeder Individual Shelter Rescue Group Pet Store Friend/Relative Found stray Other If other, please specify below How long have you had your dog? * Do you have other pets? * Yes No Has your dog ever bitten another animal, dog, or person? If yes, please describe. * Has your dog ever shown any signs of aggression towards another animal, dog, or person? If yes, please describe. * Has your dog ever shown any signs of reactivity and/ or fearful behavior towards other things (bikes, vacuum, noises, etc.)? If yes, please describe. * Exercise What type of exercise does your dog get on a regular basis and how long does the exercise last? * TRAINING What type of previous Training have you done with your dog. Was this with another trainer or by yourself? * Check all that your dog knows: * Sit Down Stay Come Walk nicely on leash Leave it Give/ Drop it Wait Go to your place Quiet Off (furniture or when jumps up) What commands would you like your dog to respond better to and/ or commands to learn? * List all of the equipment you use or have tried on your dog. * Harness: using the rear clip (leash attaches at dog's back) Harness: using front clip (leash attaches at the dog's chest) Head halter (gentle leader, halti, etc.) Flat collar Martingale collar Choke collar Prong collar Remote collar Slip leash Other: What equipment and/ or training techniques has worked. What has NOT worked? * Please describe your main behavior concerns and goals: * 1. The Pend Oreille Pet Lodge 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 instructions. Pend Oreille Pet Lodge will not be responsible for any unintentional or negligent errors, omissions, or incorrect assertions. I have been told by Pend Oreille Pet Lodge and understand the inherent risks of owning a dog, including but not limited to the risk of dog bites to myself or others, and consequently I am and will remain responsible for the actions of my dog at all times, and I hereby agree to indemnify and hold harmless Pend Oreille Pet Lodge and trainer of any and all claims of injury, expense, costs, or damages caused by my dog. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. 2 I authorize Pend Oreille Pet Lodge to take my dog into public spaces during his/her stay for the purpose of training my dog. 3. If you have left your pet with the kennel or trainer and the trainer determines that your pet is ill or injured and requires medical attention, the trainer will first call the phone numbers listed above regarding your pet’s symptoms, treatment option and estimates of cost. If no one can be reached however, please indicate below so the trainer and Pend Oreille Veterinary Service and Pet Lodge can make important decisions for your pet in your absence. * I authorize Pend Oreille Pet Lodge to administer or seek medical care for my dog(s) as determined appropriate by Pend Oreille Pet Lodge and I agree to indemnify and hold harmless Pend Oreille Pet Lodge for all and any results thereof. I will reimburse Pend Oreille Pet Lodge for any charges related to emergency care, including office visits, procedures, medications, surgeries, etc. I DO NOT authorize Pend Oreille Pet Lodge to administer or seek medical care for my dog(s) as determined appropriate by Pend Oreille Pet Lodge and I agree to indemnify and hold harmless Pend Oreille Pet Lodge) for all and any results thereof. 4. PAYMENT/ CANCELLATION POLICY: I understand that under no circumstance are deposits or monies paid toward training at The Pend Oreille Pet Lodge refundable or transferable. I also understand that I am responsible for payment in full regardless of whether I choose to complete the training program. The Pend Oreille Pet Lodge Canine Training Team reserves the right to terminate training services at any time due to non-compliance and/or lack of cooperation from the client. I will arrive to training sessions on time and understand that tardiness shall result in missed training time. STAY AND TRAIN: The Pend Oreille Pet Lodge Canine Training Team requires that a non-refundable deposit of $405.00 be paid by the owner upon scheduling for the Stan & Train program. The remainder of the payment will be due upon completion of the program at pick up. If the owner fails to pick the pet up on the scheduled date, the owner will be charged regular boarding fees, on top of the remaining balance, for every day past the previously scheduled discharge time and date. If an owner elects to terminate the scheduled Stay and Train at any point after scheduling and submitting the deposit, no refunds will be given and monies are not transferable. Should extenuating circumstances arise, we would be happy to adjust and reschedule. Furthermore, if an owner doesn’t show up for the scheduled training, they are subject to cancellation of the training session and no refund will be issued. * PRIVATE LESSONS: The Pend Oreille Pet Lodge Canine Training Team requires that private lessons be paid for at the time of scheduling. There is a minimum of 48 hour advance notice to cancel or reschedule private lessons. Failure to give 48 hour notice will result in session forfeiture. All private lesson sessions must be completed within a five-month period from the date of purchase. There are no refunds for unused lessons and monies are not transferable GROUP CLASSES: The Pend Oreille Pet Lodge Canine Training Team requires that the group classes be paid in full at the time of enrollment due to the limited number of registration slots. Cancellations that occur a minimum of 7 days prior to the start of the class will be issued a 100% refund for the class. Cancellations that occur after that 7 day period will not be issued a refund and the payment is not transferable to another group session or other training offerings in the future. If you miss a class, we do not offer make-up classes. You are welcome to schedule a private lesson (within 30 days of the missed class) at a 50% discount so that you can benefit from the material covered during that lesson. * I have read and accept the payment/ cancellation policy 5. VACCINE POLICY: I agree that the above- stated dog is current on (age appropriate) vaccinations that have been administered by a veterinarian. Including Bordetella (every 6 months), DHPP, and Rabies. I understand that I must provide appropriate documentation prior to the first visit. 6. Photo/ Video Release: I authorize Pend Oreille Pet Lodge to use my pet’s photograph(s) and/ or video(s) taken during training sessions for educational and promotional purposes in any type of media. * I have read and accept the vaccine and photo/ video release policy Date * MM DD YYYY Thank you! FOLLOW ALONG ON INSTAGRAM @PENDOREILLEPETLODGE
