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DogSmith


DogSmith


The DogSmith of Palm Beach County

Rachel Williams, CDT, CGC Evaluator
1-888-Dog-Smith (364-7648)
rwilliams@DogSmith.com

CANINE

Registration for:
Small Paw Etiquette (6 Lessons) - Saturday 10am, 09/18/2010 - Jupiter dog beach shower number 27
First Name
Last Name
How did you hear about us?   Other:
Address
City   Zip
Referral Veterinary Surgeon or Other Person
Cell Phone   Home Phone
Email Address
Name of Dog
Breed/Type
Age   Sex
Is your pet neutered?
If yes, when was it done?
EARLY HISTORY
How old was your dog when you obtained it?
Can you remember where your dog came from Breeder, Other Shelter?
Please add comment if you select other?
Is this your first dog other than a childhood pet?
If you have had other dogs please lists breeds
DIET
What do you normally feed your dog?
How many times per day is he/she fed?
Do you give any food supplements?
Does he/she enjoy their food?
Do you feed your dog tit-bits?
If yes, please describe
EXERCISE
What type of exercise does your dog have?
How many hours of exercise per day? Alone or with other dogs?
Does he/she enjoy their walks?
Is there any interaction/play with other dogs
Do you keep your dog on a leash?
What is your dog’s favorite toy?
Does your dog have free access to the toys
HOUSING
Where does your dog sleep at night
Where does your dog stay when you go out?
Is he/she left regularly? If so for how long in hours?
Are there any problems when you leave your dog?
If yes, what happens?
Do you leave toys or other distractions
Is there access to the garden?
When you are home does your dog follow you around?
TRAINING HISTORY
Have you ever attended training classes with your
How long did you attend training?
How did you toilet train your dog?
FAMILY MEMBERS
How many people live in your household? Adults   Children
Does everyone interact with the dog?
Do you have any other animals?
If yes, describe.
MEDICAL HISTORY
Does your dog have any current medical problems to your knowledge?
IS YOUR DOG GOOD WITH:
With children
With strangers
With all family members.
To groom or bath
When you feed them
With cats
With loud noises
When meeting other dogs
WOULD YOU DESCRIBE YOUR DOG AS:
A fussy eater
Aggressive in any situation
Aggressive to other dogs
Nervous of anything
Bouncy and happy
Sociable
Confident

By submitting a class application you are agreeing to the DogSmith terms and conditions noted below.
Terms & Conditions

The DogSmith® Client, Informed Consent Statement

As a DogSmith, we will always hold the dog’s welfare as our top priority. The dog is the vulnerable component in the consultation process as they cannot offer informed consent. The role of a DogSmith is one that is beneficial to the dog and never to its detriment.

We seek to do no harm. A DogSmith will not condone or endorse any treatment by a dog’s owner that is physically or mentally cruel. We will opt out of a consulting agreement rather than attempt to manage an unethical course of action.

The DogSmith will only consult with clients that offer cases that the independently owned and operated DogSmith business has the professional competence to deal with.

A DogSmith will only use procedures, protocols and training tools that are empirically based and have a proven track record. The DogSmith uses training and behavior change methods that are minimally invasive and intrusive to the animal.

A DogSmith trainer considers communications with their clients privileged. We will only break that confidentiality if a dog is being abused (as legally defined) and the client cannot be dissuaded from using their current approach. We will act according to local and state laws in terms of reporting animal cruelty.

A DogSmith recognizes that the owner is responsible for their dog and the owner has the right to make decisions about the professional treatment of their dog.

As a DogSmith, we will apply the following ethical principles to each situation we encounter: respect for the freedom and dignity of others, do not harm, do good, act fairly and be faithful to promises made to the client.

In consideration for being accepted for training with the local DogSmith Franchise, a locally owned and operated Dog Training, Dog Walking & Pet Care business, I agree to indemnify and hold harmless The DogSmith, its employees or instructors against any and all claims or actions that may at any time be made or instituted against them by any person for the purpose of enforcing any cause of action growing out of or connected with my attendance or my dog's attendance at a private or group training session conducted by The DogSmith.

DogSmiths and their employees agree to provide services stated in this agreement in a reliable and trustworthy manner. In consideration of these services and as an express condition thereof, the client expressly waives any and all claims against The DogSmith, or its employees including claims arising from negligence.

Lesson payments are non-refundable; however credit may be given against another private lesson or other courses at the discretion of your local DogSmith.

If any group classes are postponed due to inclement weather they will be made up.

Aggressive dogs are prohibited from all Group courses. The definition of an aggressive dog is any dog that shows an inappropriate challenge, threat or contest to another being (human or canine). Before applying for a group class, please consult your local DogSmith if your dog has ever exhibited aggression. Persons asked to leave a class because of their dog's aggressive behavior, will not receive a refund for any remaining classes. However, a pro rata credit may be applied for private sessions. Aggressive dogs can attend and participate in The DogSmith one-on-one training classes.

DogSmith Copyright 2006