DOG SQUAD PASSPORT APPLICATION

DOG SQUAD PASSPORT APPLICATION (training enrollment form)

 Welcome to the DOG SQUAD!

Please complete and return this application for a Dog Squad passport to participate in our Introductory Lifestyle Obedience dog training program. The current course is underway, but the next course will run for five weeks from sometime in early September, at 3:00pm, at the Stanley Recreation Grounds. Your passport includes five 60–90 minute training classes and ten socialisation play sessions. Playtime begins at 2:30pm, before the Sunday class, and is also available on Tuesday mornings at 11:00am (for two or more). The passport reflects exceptional value at $150 (a saving of 35%). Payment can be made by cash, Paypal or bank transfer (see bottom of page 3 for bank details). Numbers are limited, so please enroll early to avoid disappointment! Please send a clear head shot photo of your dog by email or text for their passport!

OWNER DETAILS:

Name: ………………………………………………………  Phone: ………………………….

Email: …………………………………………………….………………………………………

Are you a resident of: Stanley?  Y /  N   Smithton?  Y / N

Elsewhere? (where) ……………………………………………….…………….

How did you find out about The Dog Squad? (please be specific)

…………………………………………………….………………………………………

Do you have any physical/medical conditions we should know about? (privacy ensured)

e.g. sight /hearing impairment, health or mobility problems: …………………………………

………………………………………………………………………………………………………..

How many handlers will accompany your dog to training? ………………………….

(Note: handlers must be 15 years and over, maximum of three people per dog. To avoid

excessive distractions, all children must be under the direct control of a responsible

adult who is not handling the dog in class).

Names of other/alternative handlers: …………………………….………………………………

DOG DETAILS:

Name: …..…………………………………………………………………..…………………

Age: ………………..…………… Breed/s: ……………………………………………………

Sex:  M   /  F     Desexed?   Y   /  N    Note: Conditions apply to undesexed dogs – bitches

in oestrus are unable to attend classes, and entire males over the age of six months may

not be able to attend classes. Please discuss this with us if your dog is not desexed.

Does your dog have any relevant physical/medical conditions?  Y / N   If yes, please

outline: …………………………………………………………………………………

Approximately how many times a week is your dog exercised outside the home/yard?

Circle: 14  / 10   /  7   /  5   /   2  /   1  /  0    For how long each time?  …………………………

What sort of exercise? Leashed walks:  Y / N  Off-leash runs: (e.g. beach)  Y /  N

Both:   Y  /  N    Neither (describe): …………………………………………………………………

What matches your dog’s demeanour when meeting new dogs?  Confident / Shy /

Boisterous / Calm / Nervous / Aggressive / Indifferent /  Excited / Dangerous /

Perfect / OK after greeting  / I never allow my dog to get close to others

Has your dog had any of the following training?  Please tick any which apply:

◊   Puppy school at the vet                        ◊   Puppy play group

◊   Formal home training                           ◊   Dog training classes

◊  One-on-one training                             ◊   Behavioural consultant

 PROBLEM BEHAVIOUR:

As part of the training program, a Q & A session is offered at the end of each class to

discuss behavioural problems our Squad members may be experiencing.

Please tick any of the inappropriate behaviours listed below that you would like covered:

  • Jumping up
  • Chewing
  • Aggression toward people/children/dogs/when leashed/other (please describe): …………………………………………………………………………………………………
  • Barking
  • Separation Anxiety (barking or shredding when left alone)
  • Toilet training
  • Car travel issues (motion sickness/stress) ………………………………………………
  • Fears: (e.g. vacuum cleaner, mower) please describe: ……………………………………………………………………………………………………….
  • Hyperactivity
  • Noise Phobias (storms, fireworks) …………………………………………..
  • Pulling on the lead
  • Biting hands/clothing/mouthing
  • Digging

List any other behaviours you would like discussed (note: specific behaviour problems may require private consultations, as they cannot always be resolved in group settings): …………………………………………………………………………………………………………………………………………………………………………………………………………

What do you expect to gain from this course? …………………………………………………..…………………………………………………………………………………………………………………………………………………………………………….…

INDEMNITY AGREEMENT

Please read and sign this indemnity agreement:

I am a responsible adult aged 18 years or over and I accept full responsibility for any behaviour my dog shows at Dog Squad play sessions, training classes, one-on-one lessons or elsewhere at Dog Squad events or demonstrations.  I understand I am responsible for controlling my dog at all times, and will remain vigilant of my dog’s behaviour when participating in or situated near dog training activities. I have/will advise the trainer/s of any aggressive tendencies my dog has ever displayed, or any other behaviour that may present a threat to the safety of others. I understand that participating in group or private dog training and play sessions is a hazardous activity, and I indemnify The Round Yard Pty Ltd, t/a Animal Behaviour and Training Solutions- ‘The Dog Squad’ – from any action arising from injury or damage to myself, my dog or a third party, as a result of my actions, those of the dog under my control, or the actions of a dog under any other person’s control.

Signed:  …………………………………………………………….  Date …………………………

Name: …………………………………………………………………………….

________________________________________________________________________

Payment information: full payment is required to secure a place on the course.

 Please put the dog’s name and your surname in the description of all bank transfer payments, and notify us of the transfer

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