NEW CLIENT FORM Client Name First Name Last Name Phone (###) ### #### Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country Spouse Name (or co-pet owner) First Name Last Name Dog General Information Name Breed Age Spayed/Neutered? Yes No Scheduled Name of Your Vet Where did you get your dog from and how old were they? Do you have other pets in your home? Yes No If yes, what do you have and do they get along? Do you have children? if yes, please list names and ages Does your dog have any medical conditions or dietary restrictions I should be aware of? If yes, please describe. Training Questions Let's talk goals! Have you ever done formal training with your dog either in a class or with a private trainer? Yes! No, this is my first time! What are 3 goals you want to accomplish during our time together? Anything else I should know about you or your dog? How did you hear about Grace Pomeroy Training? CANCELLATION / RESCHEDULING POLICY * Please note, booking a training session is a reservation of my limited paid time. Please take a moment to review my policies regarding cancellations and rescheduling below -There is a minimum of 48 hours notice if you wish to reschedule your lesson -Lessons canceled within 48 hours cannot be rescheduled or refunded -Rescheduling within 48 hours of lesson due to illness or emergency: 1 emergency/illness cancellation allotted per 4 session pre-paid package -Pre-Paid lessons will need to be used within 60 days of the original scheduled lesson date I HAVE READ AND UNDERSTAND THE CANCELLATION/RESCHEDULE POLICY Grace Pomeroy Training Client Agreement * RELEASE OF LIABILITY I, the undersigned hereby, acknowledge that I am voluntarily participating in Dog Training with Grace Pomeroy Training. Grace Pomeroy Training will exercise all necessary and proper care and precautions to keep all participants and dogs safe during training sessions in order to prevent injury to any person, property, other dog or person. However, because dogs are animals and may be unpredictable, Grace Pomeroy Training cannot protect against every potential injury, risk or accident. Participant agrees to hold Grace Pomeroy Training from any and all claims not covered by insurance of injury, loss, cost, expenses, or damage caused by the actions of Participant's dog during the course of training/boarding, or under the care, custody or control of Grace Pomeroy Training. I hereby accept and assume all risks associated with my participation in the training programs and classes, including, but not limited to: the risks of any and all injuries to myself, my dog and any of my family members or third parties who may attend; the risks that my dog may cause injury to other persons and/or dogs involved. I have read and agree to terms and conditions How long have your had your dog? * Thank you!
