Your on Step 2. Keep going, All 3 steps must be completed

If this is your first private appointment this year (2023), click No on the first question to populate the form.

* Note – All 3 steps need to be completed consecutively – otherwise your information be lost.

If you struggle to get your application to go through, please call us @
541-603-6868.

Private Training Application

Your application is a legal contract and therefore, must be filled out by the primary trainer who must be an adult.
When is the last time this dog had group or private training WITH US?*
- Never - this is our time with The Well-Mannered Dog
- This Year
- Before this year
Name of the PRIMARY ADULT who will do the training*
First Last
Email Address of the Primary Person training*
Other Details*
Phone Number of Primary Person Doing The Training Names of Other Adults who may attend class
Street Address Of the Primary person training:*
Street Address City State / Province / Region ZIP / Postal Code
Your Dog's Information*
Your Dog's Name Primary Breed Birthdate Sex Local Veterinarian
Due Date for next set of vaccines (Distemper / Parvo):*
Month
Day
Year

Miscellaneous Information*

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:

Agreements, Policies and Conditions
After enrolling in a program, should the instructor discover said program is not an appropriate fit for me (an inability to hear, safety issues, an inability to navigate the stairs) or my dog (excessive vocalizing, dog too stressed to eat, does not meet minimal social skills, an inability to navigate the stairs) , I agree to transfer to the program recommended by my instructor.*
- Yes
I understand class materials are for my personal use and agree to not share class content with others.*
- Yes
If my dog or I am contagious or exposed to a contagious disease I agree to attend on-line classes until there is no longer a risk of spreading disease and agree to notify my instructor immediately upon discovery.*
- Yes
I agree to follow all safety guidelines, including not allowing children to handle my dog without instructor approval and I state, I have ability to handle my dog in a way that ensures the safety of other dogs and people.*
- 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 understand The Well-Mannered Dog is an educator who may use my and my dog’s likeness, voice, name, images in any and all audio, written or visual format to be used in educational materials 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 For Private Appointments - Because we have limited appointments available, both parties agree to only cancel or reschedule appointments in the event of an emergency (unforeseen circumstances resulting in a need for immediate action). Emergency cancellations will be rescheduled. Rescheduling non-emergency cancellations are charged our normal hourly rate. Once appointments are scheduled no refunds will be given for any reason.*
- Yes
I agree to forfeit any training privledges not used prior to the expiration period.*
- 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

Your on Step 2. Keep going, All 3 steps must be completed

If you struggle to get your application to go through, please call us @
541-603-6868.

Private Training Application

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

Agreements, Policies and Conditions

Dog Training in Eugene Oregon

Super helpful links

Phone Number of Primary Person Doing The Training	Names of Other Adults who may attend class

Your Dog's Name	Primary Breed	Birthdate	Sex	Local Veterinarian

Your on Step 2. Keep going, All 3 steps must be completed

If you struggle to get your application to go through, please call us @541-603-6868.

Private Training Application

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

Agreements, Policies and Conditions

If you struggle to get your application to go through, please call us @
541-603-6868.