Atlanta Dog Trainer Daycare Application
Content
Two locations: Check which location you are bringing your dog to. Atlanta Dog Trainer Alpharetta 12900 Freemanville Road 30004_____ Pet Resort Cumming Dog Daycare 5660 Howard Road 30040______ Name_______________________________________Date________ Address_________________________________________________ City____________________State_______Zip___________________ Home Phone_____________________Cell______________________ Work____________________________________________________ _ Email____________________________________________________ _ Dog’s name__________________________Sex________Age______ 2nd Dog_________________________________Sex____Age______ Breed______________Color_____2ndog_____________color_____ Veterinarian______________________________________________ Vet phone#_________________________________________________ Who do I call in an emergency? ________________________________________________________ Phone#__________________________________________________ ____
NO un-neutered males allowed in daycare over the age of 8 months!! Has your dog ever nipped at or bitten a human?___If yes explain__________________________________________________ Has you dog been in a dog fight?__________________________________ Does your dog play with other dogs?_______________________________ How often?___________________________________________________ ________________________________________________________ Does your dog play rough?______ Does your dog get aggressive behind fences or barriers but can play fine with dogs in other situations?__If yes explain__________________________________________________ Is your dog toy, food or people possessive?____________If yes explain____________ Is your dog fearful of anything and or fearful of men, thunder, small dogs, lawn mowers, blowers or children?_______________________ Can you take toys, food and bones away from your dog?______If not explain__________________________________________________ ________________________________________________________ Is your dog an excessive barker?______for how long do they bark_____ Does you dog try and dig out of fenced in areas?______If yes in what circumstance?____________________________________ Rabies tag #____________ How did you hear about us?______. All answers have been answered honestly and to the best of your knowledge, please initial_______________If there is any untruths we will cancel you privileges immediately. There is no refund once Day Care packages are purchased Please sign waiver below. Email [email protected] or fax application back to us (678) 455 9199
Waiver and Release Agreement has to be signed and dated prior to admittance to our dog daycare, boarding, obedience classes private or group, agility classes and or a visiting guest on the property.
WHEREAS, The undersigned is participating in Atlanta Dog Trainer LLC obedience Classes, Agility Class, enrolling their dog in doggie daycare or a guest visiting Atlanta Dog Trainer’s classes or facility as indicated by my signature, I understand and agree to all the following statements contained within this waiver and release agreement. The undersigned recognizes and understands that their animal will be in close proximity to other animals. Also, there will be activities their animal will be required to participate in including running, jumping and engaging in activities requiring use of Agility Equipment. Such animals will be climbing, jumping on and off equipment, such activities can cause injury. I release any and all liability and financial obligation of Atlanta Dog Trainer LLC, their staff, agents, administrators, his or her heirs, contractors, maintenance staff and trainers of foreseen and unforeseen, known and unknown injuries to undersigned and their pet hereby now and forever. WHEREAS, the undersigned recognizes that participating in activities with their dog involves risks for owner and their animal, included and not limited to being scratched, bitten, falling, tripping, injury on or due to any agility equipment, dog fights, transmission of diseases and any and all incidents that might occur on the property 12900 Freemanville Road Alpharetta, GA 30004 with Atlanta Dog Trainer LLC and 5660 Howard Road Cumming, GA Atlanta Dog Trainer Pet Resort LLC WHEREAS, in order to join in group classes, private lessons, agility class or in doggie daycare the undersigned does hereby release Atlanta Dog Trainer LLC at 12900 Freemanville Rd Alpharetta, Ga , their agents, administrators, his or her heirs, contractors, maintenance staff, officers, directors, staff and trainers of any and all liability whatsoever associated with the undersigns participation at the facility in doggie daycare, group classes, private lesson and agility classes/lessons and the undersigned does further indemnify and hold such entities and persons harmless from loss, injury or damage which might result to him/her or their pets. The undersigned executes and delivers this release and covenant not to sue and assumes all risks and liabilities in order to join any and all classes and or doggie daycare held at 12900 Freemanville Rd Alpharetta, Ga, with Atlanta Dog Trainer LLC. Undersigned has read and understands this waiver and understands all liabilities, risks and any financial obligation is assumed by the undersigned and any and all risk, liabilities or financial obligation is released from Atlanta Dog Trainer LLC 12900 Freemanville Rd Alpharetta, Ga 30004. Name________________________ 2ND person__________________________ Print Name____________________ 2ND person__________________________ Email Address___________________________________________________________
For Staff Use Only
Dog’s name_________________________ Owner’s name_______________________ Circle one and explain if needed. 1. Was the dog dominant with larger dogs or smaller dogs? No Yes At Times All Dogs 2. Was the dog submissive with larger or smaller dogs? No Yes At times All Dogs 3. Did the dog show signs of any aggression? With toys or humans or protective or the pack mate [the 2nd dog they live with or their buddy]? 4. Does the dog know how to greet appropriately? No Yes At Times Needs Work 6. Could you touch their tail? No Yes 7. Could you pick up one of their feet? No 8. What was the overall demeanor of the dog? Great /Good/ Okay /Not so Good /Terrible 9. Was the dog friendly with you? No Yes At times Yes
10. Did the dog pass? No/Yes/Boarder line/Absolutely
NO un-neutered males allowed in daycare over the age of 8 months!! Has your dog ever nipped at or bitten a human?___If yes explain__________________________________________________ Has you dog been in a dog fight?__________________________________ Does your dog play with other dogs?_______________________________ How often?___________________________________________________ ________________________________________________________ Does your dog play rough?______ Does your dog get aggressive behind fences or barriers but can play fine with dogs in other situations?__If yes explain__________________________________________________ Is your dog toy, food or people possessive?____________If yes explain____________ Is your dog fearful of anything and or fearful of men, thunder, small dogs, lawn mowers, blowers or children?_______________________ Can you take toys, food and bones away from your dog?______If not explain__________________________________________________ ________________________________________________________ Is your dog an excessive barker?______for how long do they bark_____ Does you dog try and dig out of fenced in areas?______If yes in what circumstance?____________________________________ Rabies tag #____________ How did you hear about us?______. All answers have been answered honestly and to the best of your knowledge, please initial_______________If there is any untruths we will cancel you privileges immediately. There is no refund once Day Care packages are purchased Please sign waiver below. Email [email protected] or fax application back to us (678) 455 9199
Waiver and Release Agreement has to be signed and dated prior to admittance to our dog daycare, boarding, obedience classes private or group, agility classes and or a visiting guest on the property.
WHEREAS, The undersigned is participating in Atlanta Dog Trainer LLC obedience Classes, Agility Class, enrolling their dog in doggie daycare or a guest visiting Atlanta Dog Trainer’s classes or facility as indicated by my signature, I understand and agree to all the following statements contained within this waiver and release agreement. The undersigned recognizes and understands that their animal will be in close proximity to other animals. Also, there will be activities their animal will be required to participate in including running, jumping and engaging in activities requiring use of Agility Equipment. Such animals will be climbing, jumping on and off equipment, such activities can cause injury. I release any and all liability and financial obligation of Atlanta Dog Trainer LLC, their staff, agents, administrators, his or her heirs, contractors, maintenance staff and trainers of foreseen and unforeseen, known and unknown injuries to undersigned and their pet hereby now and forever. WHEREAS, the undersigned recognizes that participating in activities with their dog involves risks for owner and their animal, included and not limited to being scratched, bitten, falling, tripping, injury on or due to any agility equipment, dog fights, transmission of diseases and any and all incidents that might occur on the property 12900 Freemanville Road Alpharetta, GA 30004 with Atlanta Dog Trainer LLC and 5660 Howard Road Cumming, GA Atlanta Dog Trainer Pet Resort LLC WHEREAS, in order to join in group classes, private lessons, agility class or in doggie daycare the undersigned does hereby release Atlanta Dog Trainer LLC at 12900 Freemanville Rd Alpharetta, Ga , their agents, administrators, his or her heirs, contractors, maintenance staff, officers, directors, staff and trainers of any and all liability whatsoever associated with the undersigns participation at the facility in doggie daycare, group classes, private lesson and agility classes/lessons and the undersigned does further indemnify and hold such entities and persons harmless from loss, injury or damage which might result to him/her or their pets. The undersigned executes and delivers this release and covenant not to sue and assumes all risks and liabilities in order to join any and all classes and or doggie daycare held at 12900 Freemanville Rd Alpharetta, Ga, with Atlanta Dog Trainer LLC. Undersigned has read and understands this waiver and understands all liabilities, risks and any financial obligation is assumed by the undersigned and any and all risk, liabilities or financial obligation is released from Atlanta Dog Trainer LLC 12900 Freemanville Rd Alpharetta, Ga 30004. Name________________________ 2ND person__________________________ Print Name____________________ 2ND person__________________________ Email Address___________________________________________________________
For Staff Use Only
Dog’s name_________________________ Owner’s name_______________________ Circle one and explain if needed. 1. Was the dog dominant with larger dogs or smaller dogs? No Yes At Times All Dogs 2. Was the dog submissive with larger or smaller dogs? No Yes At times All Dogs 3. Did the dog show signs of any aggression? With toys or humans or protective or the pack mate [the 2nd dog they live with or their buddy]? 4. Does the dog know how to greet appropriately? No Yes At Times Needs Work 6. Could you touch their tail? No Yes 7. Could you pick up one of their feet? No 8. What was the overall demeanor of the dog? Great /Good/ Okay /Not so Good /Terrible 9. Was the dog friendly with you? No Yes At times Yes
10. Did the dog pass? No/Yes/Boarder line/Absolutely
