1Owner Information2Dog Information3Training Info4Behavior / Goals5Terms / Conditions / Submit Owner Name(Required) First Last Email(Required)Please provide your email address so we can send you a copy of this submission. Enter Email Confirm Email Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)When Is The Best Time To Reach You?(Required)MorningAfternoonNightNo PreferenceYour Neighborhood(Required)In which type of neighborhood do you live? CIty Suburban Rural 10+ Acres Family Members(Required)List how many family members at home and children’s age?How did you hear about us?(Required) Vet facility(Required)What is the name of your Vet facility and the name of your Vet? Pet Name / Breed / Age(Required) Is your dog neutered or spayed?(Required) neutered spayed NO Where did you obtain your pet?(Required) Breeder Shelter Friend Other Why did you choose to get your dog?(Required) Do you currently have other pets in your home?(Required) Other pets in your home(Required)List all pets in your home with ages and breeds or just type NONE if you have no other pets.Pets in in home when you acquired this dog(Required)List all pets in your home with ages and breeds when you acquired this dog. Just type NONE if you have no other pets.Where does your dog primarily live?(Required) Inside Outside Is your dog crate trained?(Required) YES NO Does your dog have free roam of the house?(Required) YES NO Dog feed brand and amount(Required)What brand of diet do you feed your dog and how much throughout the day? Eating Habit Daily(Required)Will your dog eat immediately, or graze throughout the day Eat Immediately Graze all day Medications(Required)What (if any) medications do you give your dog and why? PLEASE TYPE NONE IF YOU DO NOT HAVE MEDICATIONS. Past Professional trainer(Required)Have you worked with a professional trainer in the past? YES NO What kind of training have you done with your dog?(Required) Reinforce/reward behaviors(Required)How do you reinforce/reward your dog for desirable behaviors? Correct behaviors(Required)How do you correct your dog for undesirable behavior? Obey commands(Required)Will your dog obey commands on the first verbal cue? YES NO Commands your Dog Knows(Required)What behaviors or commands does your dog know? training tools used(Required)What kind of training tools do you currently use (Types of collars and leashes): ? Posessive(Required)Is your dog possessive of toys, treats, food, or spaces. i.e. the couch or bed? YES NO Is your dog reactive?(Required)Is your dog reactive to other dogs or humans? TYPE YES OR NO AND EXPLAIN.Dog Biting Dog(Required)Has your dog ever bitten another dog? If so, how many times, and to what degree? i.e. break skin, scratch, puncture.Dog Biting Human(Required)Has your dog ever bitten a person? If so, how many times, and to what degree? i.e. break skin, scratch or puncture.How do you play with your dog?(Required)Daily Walking(Required)Do you take daily walks with your dog? If so, how many and for how long? Training time devotion(Required)How much time to you devote to training your dog daily? Problem Areas to address(Required)List specific problem areas you wish to work on with your dogMain Goals(Required)What is your main goal to accomplish through this training? Terms and Conditions(Required)You must click below to acknowledge and agree to all of the below Terms and Conditions.NOTICE TO ALL CUSTOMERS: ANY and ALL health issues, injuries and expenses incurred during or after a pet’s stay at H-D Interactions Dog Training Co. are the sole responsibility of the Pet Owner. TERMS, CONDITIONS AND AGREEMENT FOR ALL SERVICES This Agreement and Terms and Conditions (collectively, this “Agreement”) constitutes a binding legal agreement between you and H-D Interactions Dog Training Co. (“H-D”). This Agreement applies (i) to all services provided and events sponsored by H-D, including boarding, grooming, and training and (ii) each time you visit H-D or attend an event sponsored by H-D after the date hereof whether or not you are asked to sign this Agreement at another future time. You have the right to terminate this Agreement with respect to any future visit or participation in H-D events by providing written notice of such termination to H-D prior to such future visit participation. H-D reserves the right to refuse service or participation to any person at any time. VACCINATIONS To prevent the spread of disease while your pet is with H-D, pets must be current on Rabies, Bordetella and Distemper vaccinations. It is your responsibility to provide proof of vaccination history for each animal that comes on our premises. You further understand that even if a pet is vaccinated against kennel cough (Bordetella) or other illnesses, it is possible that a pet may contract kennel cough or another illness during its stay at H-D. You specifically agree that H-D shall in no way be responsible for death or injury should your pet contract kennel cough or another illness while at H-D. If your pet is found to have fleas and/or ticks, it will be bathed and/or treated by H-D at your expense. MEDICAL ATTENTION I the owner or its agent agrees to be prepared to have his or her pet discharged from H-D within 24 hours of any given notice. If your pet requires medical attention, H-D will attempt to contact you for instructions regarding care. If H-D is unable to contact you within a reasonable period of time, or if H-D otherwise determines in good faith that the condition of the pet requires immediate medical attention, H-D is hereby authorized to administer such medical attention as it deems appropriate, or seek medical attention for your pet from a veterinarian designated by you or, if no such designation has been made, by any veterinarian selected by H-D in its discretion. All costs and expenses incurred by H-D or such veterinarian are your sole responsibility and will be paid promptly by you. YOUR PET'S STAY AT H-D If your pet is left in our care for boarding, and training, H-D will provide your pet with a clean, safe and properly maintained environment, and will regularly feed your pet or otherwise in accordance with your reasonable instructions. Your pet will not be removed from H-D’s premises except for “Field Trips” or with your prior consent or in the case of emergency. Standard precautions will be used against the injury, escape or death of pets. H-D will not be held responsible for injuries that occur, provided that standard care and precautions have been followed as determined at the sole discretion of H-D. You expressly agree that H-D’s liability in the event that standard care and precautions are not provided by H-D, shall in no event exceed the lesser of the current chattel value of a pet of the same species or the sum of $2,500.00 (Two Thousand Five Hundred Dollars) per animal. RISKS INVOLVED WITH GROUP ACTIVITIES You agree and understand that there are inherent risks when dealing with animals and humans in group situations. Such risks include problems associated with rough play, such as bite wounds and scratches, the aggravation of existing medical conditions, and in rare instances death. Female pets that are in season also run the risk of unintended pregnancy. You understand and agree that under no circumstances shall H-D be responsible for illness, injury, or death (including aggravation of existing injuries or conditions) to pets participating in group activities (including training, socialization through play, or play time out in the yard). You consent to your pet’s participation in group activities, acknowledge the foregoing risks and limitations on liability and, if your pet is female, certify to H-D that such pet is not in season and is not expected to come into season during your pet’s stay at H-D. TRAINING PROGRAMS You agree to and understand that you are paying for and will receive the amount of lessons based on your selected program/package: 6 week Training Program - 6 one on one lessons, 8 week Training Program - 8 one on one lessons, 10 Week Training Program - 10 one on one lessons, Puppy Head Start Program - 5 one on one sessions. These training programs/packages are designed to educate you as the owner or agent on how to work with and train your dog(s). These programs are non-refundable (see section labeled ‘Payment For Services’ for more information). H-D is not held liable for the outcome of the Training Program and no extra lessons will be added to the Program. PAYMENT FOR SERVICES If registered for any board and train program, you agree to and understand that a payment of $500 is due at time of scheduling and is non-refundable. The remaining balance of the board and train program is due at the time that you drop your dog off at H-D and is also non-refundable, unless discussed and agreed upon otherwise. There then will be a separate document completed and signed stating the new payment plan. All evaluations are priced at $100 and are non-refundable. If you sign up for any service at the time of the evaluation, your $100 paid for the evaluation will go towards the cost of the service. Fees for individual private lessons are due at the time of scheduling the private lesson. If signing up for any of the Training Programs/packages you understand that you must pay the program/package price in full at the time of scheduling unless discussed and agreed upon otherwise. There then will be a separate document completed and signed stating the new payment plan. These are non-refundable. You agree to and understand that there is a cancellation fee of $50 should you try to cancel or reschedule any lesson without a 24-hour notice. If a 24-hour, or more, notice is given then the lesson can be canceled or rescheduled without the $50 fee. This can occur up to three times. If you as the client/owner/agent of the dog(s) cancel more than three times, this is grounds for discontinuation of the package/program. In order to achieve any type of result, you as the owner need to show your commitment to the training of your dog(s). Multiple cancelations of lessons shows that you are not committed. If any fees or expenses payable by you are not paid when they are due, or if your pet is not claimed within ten days of its scheduled pick-up date, H-D reserves the right to exercise any and all remedies available to it at law or in equity, including, without limitation, the right to sell your pet in accordance with applicable law to obtain these owed fees. You agree to promptly notify H-D of any change in the scheduled pick up date of your pet, and agree to be responsible for and pay any additional charges incurred as a result of a change in a scheduled pick up date. If purchasing a Personal Protection Dog (PPD) from us, you understand that a non-refundable amount of $1,000 is due to reserve that PPD for you. The remainder amount is due at the time of drop-off of the PPD to your home/location. If you do not pay the remainder amount owed in full at that time, H-D has the right to void the sale, keep the dog, and your non-refundable $1,000 deposit on the dog. You also agree to and understand that $2,500 is due on top of the original price of the dog for expenses incurred by H-D to travel to your location, any meals, or hotel fees that were needed for the three day drop-off and transition training process of the PPD. The amount owed for the PPD and drop off training must be paid by using a cashier's check. If making a payment with a check, and the check bounces or gets returned, you as the client are responsible for the fees incurred with that returned or bounced check, and must pay again for the services that were provided by H-D. RELEASE FROM LIABILITY As additional consideration for H-D accepting your pet for any and all services, you hereby release H-D from any and all liability (except as expressly set forth above under the heading “Your Pet’s Stay at H-D”), cost and expense resulting from or related to (i) loss or damage to your pet, including loss or damage resulting from or caused by disease, running away, theft, fire, participation in group activities or other animals or people or (ii) loss or damage to persons or property caused or alleged to be caused by your pet. In addition, you agree to indemnify and hold harmless H-D and its employees, agents and representatives from any and all claims resulting from any action by your pet. **By clicking this box, I acknowledge and agree to all of the above Terms and Conditions** The undersigned specifically represents that he or she is the owner of the pet(s) that are brought to H-D for services or that the undersigned has been authorized by the owner of the pet(s) to enter into this Agreement as the duly authorized agent of the owner. For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound hereby, H-D and the undersigned have agreed to these terms and conditions as of the date set forth below. I agree to the Terms and Conditions Name Consent(Required)Please type your full name to agree to the terms and conditions above. First Last Your Signature(Required)Please sign to confirm you agree to the terms and conditions.HD Interactions Signature: CommentsThis field is for validation purposes and should be left unchanged. This form is protected by reCAPTCHA: Google Privacy Policy and Terms of Service apply.