2nd application • The Well-Mannered Dog, LLC/ Dog training/ Puppy Classes/ eugene oregon/positive reinforcement/behavior/obedience

Your application is a legal contract and therefore, must be filled out the primary trainer who must be an adult.

Pick your first class*

Great Start Puppy Class
Serious Self Control
Changing Emotions

Your Information

Name of the PRIMARY ADULT who will do the training*

First Last

Name of other Adults who will attend with you

Email Address of the Primary Person training*

Phone Number of primary person training:*

Street Address Of the Primary person training:*

Street Address City State / Province / Region ZIP / Postal Code

Note any changes to your contact information here

Your Dog's Information

Name of the dog you are enrolling*

Your Dog's Primary Breed*

Your Dog's Birthdate (or approximate)*

Your Dog's Sexual Status*

Intact Female
Spayed Female
Intact Male
Neutered Male

What Local Veterinary office are you presently using?:*

Due Date for next set of vaccines (Distemper / Parvo):*

Please list the skills you would like your dog to gain*

Note here if your dog's has been spayed or neutered or any behavioral changes since your last enrollment

Miscellaneous Information

What made you get a dog in the first place and this particular dog?*

How did you find out about our training?:*

What other local training have you attended:*

What made your decide to get professional help?*

What attracted you to enroll with us compared to other places you looked at:*

Are you interested in any dog sports?:*

Class qualifications

I certify, my dog is in good health, free of contagious diseases and up to date on all age-appropriate vaccines. Should my dog become ill, I agree to come to class without it or attend the online version of class.*

Yes

I believe my dog will not vocalize (bark, whine) repeatedly. If my dog starts vocalizing, I can get it to be quiet with the use of treats or dog chews. Should an issue be discovered, I agree to transfer to Chaos to Calmness class instead.*

Yes

I believe, my dog can either walk or be carried down the stairs leading into the training room. Should an issue be discovered, I agree to transfer to private training.*

Yes

I believe my dog will be relaxed enough to eat treats. Should an issue be discovered, I agree to transfer to The Chaos to Calmness Class instead.*

Yes

I believe my dog will not threaten other dogs or people with unfriendly behaviors (unfriendly barking, growling, lunging, snapping or biting.) Should an issue be discovered, I agree to transfer to the Chaos To Calmness Class instead.*

Yes
No

I state, I have ability to handle my dog in a way that ensures the safety of other dogs and people. Should an issue be discovered, I agree to transfer to our Private Training.*

Yes

I state, I can hear instructions even if the instructor is 30 feet away. Should an issue be discovered, I agree to transfer to Private Training.*

Yes

I state, I can safely walk my dog down the stairs leading to the training room. Should an issue be discovered, I agree to transfer to Private Training.*

Yes

Agreements and Policies

I still agree to all agreements and policies from my previous registration.

Yes

I agree to not allow my dog to get close to other dogs or people in class without instructors permission.*

Yes

I promise to keep my dog up to date on its vaccines while it attends training.*

Yes

If I'm contagious or exposed to a contagious disease (a cough, fever, shortness of breath, digestive upset) I agree to attend on-line classes until there are 14 days of no one in my house hold with symptoms.*

Yes

I agree to follow all social distance guidelines, and to keep my mouth and nose covered at all times and stay at least 6 feet apart, etc.*

Yes

Should my instructor become contagious, or a Stay At Home Order be issued, I agree to have my classes online until those conditions are rectified.*

Yes

I grant The Well-Mannered Dog permission to use and reproduce my and my dog’s likeness, voice, name, images in any and all audio, written or visual format to be used in the education of others and marketing. I hereby relinquish, give and assign to The Well-Mannered Dog, LLC all rights, title, and interest I may have in the materials without limitation. In addition, I acknowledge The Well-Mannered Dog is the owner of said materials without payment or compensation to me.*

Yes

Cancellations & refund policy - I understand that upon submitting my payment homework lessons will be e-mailed within 24 hours. Therefore, no refunds will be given.*

Yes

Transfer to Private Training Policy - I understand that groups classes are not a good fit for all dogs or people and I need to make arrangements to transfer to private training prior to missing any group classes.*

Yes

I agree to forfeit any classes that are not used prior to the expiration period.*

Yes

I understand, this is a membership class and give The Well-Mannered Dog permisson to automatically process my payment each month until I request to cancel my membership*

Yes

Hold Harmless Waiver - Submitting your application, signifies your agree to our Agreement To Hold Harmless, Waiver And Assumption Of Risk waiver. Agreement To Hold Harmless, Waiver And Assumption Of Risk – I understand that attendance of a dog training class is not without risk to myself, members of my family, guests who may attend, or my dog, because some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. I hereby waive and release THE WELL-MANNERED DOG, LLC hereinafter referred to as the Training Organization, its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claim, or claims by any member of any family or any other person accompanying me to my training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.*

I agree

CAPTCHA