Gotham Vet Client Registration Form

This form is best completed on a computer, not a mobile device.  Please take your time and be as thorough and honest as possible.  The more information we know ahead of time, the better prepared and efficient we can be to help you.  Please be sure to read our Policies.

Gotham Client Registration Form and Training Contract

Client & Dog Information

First
Last
We'd love to see your favorite picture of your dog. Share it here!

Maximum file size: 52.43MB

Address
City
State/Province
Zip/Postal

Emergency & Health Information

Description of Services

Payment Information and Agreement

Initial consultation, up to 90 minutes including follow up with training recommendations, prognosis, detailed client instructions/plan and within reason, email support for 4 weeks related to original consult. Additional sessions may be advised.

Rate: $340/90 min consult, $225/hr follow up sessions. $50 charge applies additional for each additional dog for single per consult/session.

PLEASE NOTE: ALL SESSIONS ARE NON-REFUNDABLE AND SUBJECT TO CANCELLATION POLICY.

Liability Waiver & Policies

Rescued By Training 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, to the extent that Rescued By Training is insured for any unintentional or negligent errors, omissions, or incorrect assertions, Rescued By Training will be responsible for any such acts or omissions, but only to the extent of such insurance. I 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 Rescued By Training 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.

Cancellation Policy: Cancellations within 72 hours are subject to half of fee for missed appointment. Cancellations made within 24 hours are subject to full fee for missed appointment unless filled by a standby appointment. Cancellations made outside of 24 hours will be rescheduled at the next available appointment. Multiple cancellations may result on being put on a standby list.

Photography Policy: I understand photographs of me and/or my dog may be used in social media or other promotional materials for demonstration purposes.

Signature

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

Yes! I would like to receive tips and service updates via your newsletter. *

Dog's Routine

Training History/Reinforcers

If your dog requires a food not listed here, an additional charge may apply.

Client Goals

Fear or Aggression Toward Humans

Bite levels as defined by Dr. Ian Dunbar
Type "NA" if not applicable.
Type "NA" if not applicable.
Type "NA" if not applicable.
Type "NA" if not applicable.
Type "NA" if not applicable.
Type "NA" if not applicable.

Separation Anxiety