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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.

I only offer remote sessions (with limited in person drop off and board and train sessions after initial consult for some selection clients), so once you complete this form, please use our ONLINE SCHEDULER to book your appointment.

If you are being seen at Gotham Vet for behavior services, please use the registration form link they provided you.  

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.
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Address
City
State/Province
Zip/Postal
Country

Emergency & Health Information

Description of Services

Initial phone consultation for fear/aggression, up to 2 hours including follow up notes with prognosis, management, training recommendations or plan, case specific information or education items, and email support for the first 4 weeks following the consult for issues discussed in consult.

Additional follow-up video or phone sessions scheduled and charged separately, as needed.

Remote 1 hour phone and video sessions include additional handouts and resources as appropriate. No additional follow-up is included. Additional video or phone sessions may be scheduled.

Pre-Baby Prep Remote Video Consult, up to 2 hours including complete assessment, personalized training plan to help prepare your dog for baby, homework, enrichment recommendations and an assortment of dog/baby handouts. No additional follow-up is included. Additional video or phone sessions may be scheduled.

The Family Dog package includes 6 video sessions plus online access to the program. Sessions must be completed within 3 months. You have email support throughout the duration of the 6 package sessions.

New dog/pre-adoption/purchase phone consult includes handouts and resources as appropriate. No additional follow-up is included. Additional video or phone sessions may be scheduled.

Foundations CGC/Therapy Dog Prep Video sessions are scheduled as needed to complete and pass certification. No additional support or follow-up is included. Additional video or phone sessions may be scheduled.

Initial cat phone consultation includes remote assessment, history review, training plan, relevant handouts, management protocols, recommendations and two week of follow-up email support for the initial training plan.

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

Payment Information and Agreement

Payment Policy: Payment due to secure appointment.

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 have been told by Rescued By Training 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 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. If a dispute arises under this Agreement, the parties agree to first try to resolve the dispute with the help of a mutually agreed-upon mediator in Fairfield County Connecticut. Any costs and fees other than attorney fees associated with the mediation shall be shared equally by the parties. If it proves impossible to arrive at a mutually satisfactory solution through mediation, the parties agree to submit the dispute to a mutually agreed upon arbitrator in Fairfield County Connecticut. Judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction to do so. Costs of arbitration, including attorney fees, will be allocated by the arbitrator.

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. Packages are non-refundable and must be used within 3 months of initial payment.

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

Signature

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

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

Type "NA" if not applicable.
Type "NA" if not applicable.
Type "NA" if not applicable.
Type "NA" if not applicable.