Intake Form This form is for new clients. Thank you for filling this form out thoroughly and completely. This will help be prepared for our first session.If you would like to register for a class please do so here. Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Other family members: How did you hear about us? * Who is your veterinarian? * I would like to start with this service: In Person Sessions" There are options! We come to your house, we meet at a location relevant to training or you come to our Nelson office. All packages can be used for any combo of day training (I take your dog) and training with you. Combo Packs: 3 = 1 Online and 2 In Person Sessions, 6 = 2 Online and 4 In Person In Person Initial Consult - $160 Online Initial Consult - $125 In Person Initial Aggression Consult - 2 hours - $290 3 Session In Person Package - $400 6 Session In Person Package - $775 Online 3 Pack - $250 Online 6 Pack - $480 Combo 3 Pack - $375 Combo 6 Pack - $700 Unsure Dog's Name * If you have more than one dog for whom you are seeking training please include the information for both dogs in all the following fields. Dog's Breed or Mix * Dog's Sex * Male Female Dog's Weight * Dog's age, birthday if known and age when acquired * My dog is spayed/ neutered * Yes No No but spay/neuter is scheduled - if so please provide date below. Date MM DD YYYY Where did you get your dog? * What are you currently feeding this dog? * Does this dog have any medical issues, allergies or take any medication? * Please tell us about the behavior you would like us to address: * What are your top training priorities? * Has this dog ever bitten anyone? * Is this dog friendly to strangers? If no please explain. * Is this dog afraid of anything? * Is there anything else you would like to share with us? If you would like to upload a video of the problem behavior please do so through dropbox using the link below. If possible please label it with your name and your dogs name: https://www.dropbox.com/request/uSCQhoI1lgG66UYn6Fiz Does your dog have a social media account we can follow and tag? DOG TRAINING SERVICES AGREEMENT You represent and warrant to us that the information provided by you in the Intake Form is true and accurate. You will promptly disclose to us any changes to the information in the Intake Form. Any references in this Agreement to “your dog” or “the dog” refer to the dog or dogs identified in the Intake Form provided by you and accepted by us. SERVICES You engage us to provide, and we agree to provide, subject to the terms and conditions of this Agreement, for you and the dog(s) specified in the Intake Form, the services mutually agreed to as specified by you by booking on our website and confirmed by us to you by email or otherwise in writing. This Agreement applies to services we agree to provide to you at the time at the time this Agreement is signed by you and to services we agree in the future to provide to you. FEES AND PAYMENT You agree to pay to us the fees for the services as specified on our website when the classes or appointments are booked and confirmed by us, subject to the terms of this Agreement. Fees must be paid at the time of booking of the relevant service. Fees are non-refundable. All fees must be paid in Canadian dollars or United States dollars unless otherwise agreed and paid by credit card, e-transfer or PayPal. CANCELLATION POLICY For PRIVATE TRAINING SESSIONS, the following apply with respect to cancellations or training sessions missed by you: - Sessions cancelled by you more than 48 hours before the appointment may be rescheduled by mutual agreement once and thereafter if cancelled by you again will be forfeited without refund of fees. - Sessions cancelled by you less than 48 hours before any appointment will be forfeited without refund of fees. Individual make up sessions may be purchased. - Cancellations for emergencies will be handled on a case-by-case basis, in our discretion. - Sessions expire one year from the date of purchase, and all sessions must be used within this period. If you and/or your dog do not attend a training session within one year of the booking of that session, the session will be forfeited without refund of fees. Inclement Weather: In the event of severe cold or hot weather, or any other weather condition, which in our opinion threatens or impairs the health or safety of any dogs or persons participating in outdoor training sessions or the ability to productively carry out training outdoors, we reserve the right to move the training session indoors if a suitable indoor location is available, or to reschedule session. NO GUARANTEE OF RESULTS You recognize that the role you play in your dog’s learning process is integral to achieving desired results. Success in training a dog is dependent on the interest, commitment and cooperation of the dog’s owner. In addition, the dog may have underlying conditions, instincts or circumstances which inhibit reaching the desired training goals. You acknowledge and agree that there is no guarantee that your dog will achieve the desired level of training, despite the best efforts of IN PARTNERSHIP DOG TRAINING. You further understand that the recommendation of any other product or service by IN PARTNERSHIP DOG TRAINING is not a guarantee of satisfaction with that product or service. REMOTE VIDEO CONSULTATIONS The services provided by us may include consultations by remote video conferencing, if you and we agree to that. In that event you will be responsible for ensuring that your equipment and software are adequate to support the video conference and you assume any risks associated with the use of any particular video conferencing computer application. Although we may suggest the use of a particular software application, and/or suggest how to use it, we are not experts in information technology and can give no assurances regarding any risks that may be associated with the use of any such technology, whether related to loss of privacy, disclosure of information, unauthorized access to your computer system or other cause. You assume all risks related to your use of any such technology and we assume all risks related to our use of any such technology. EMERGENCIES In the event In the event of an emergency involving an injury to your dog, we will try to contact you at the numbers provided to confirm your choice of action. If we cannot contact you in a timely way, we are authorized to: - Take the dog(s) to the veterinarian you identified as the dog’s veterinarian; or - Obtain on-site treatment from a veterinarian; or - Take the dog(s) to an emergency clinic if the previous two options are not feasible in the reasonable judgement of our trainer or handler on the scene. - If there is a health emergency in the general community we may postpone or cancel training sessions, or change the methods by which training or consultation is carried out, which may include requirements regarding physical distancing and the wearing of personal protective equipment, all as considered prudent by us based on applicable regulations or advice from government or health authorities. By checking the box below I indicate that I have read and agree to the policies outlines above. I Agree LIABILITY RELEASE AND WAIVER ASSUMPTION OF RISK You acknowledge that you are voluntarily participating in dog training provided by IN PARTNERSHIP DOG TRAINING with knowledge of the potential dangers. You acknowledge that dogs are unpredictable animals with their own will and drives, and therefore, regardless of training, handling, or environmental circumstance, IN PARTNERSHIP DOG TRAINING cannot protect against every potential injury, risk or accident to you, to other persons participating in the training or on the property where the training is taking place, or to dogs. These may include dog attacks, dog bites and the responsive actions and complications that arise from them, and you understand and acknowledge that such risks are inherent and cannot be eliminated. This Agreement is intended to shift the risk of participating in dog training to you. Do not sign it unless you are willing to assume the risk to yourself, your dog, and others accompanying you of your participation in dog training, including the associated risks of bodily injury, death or property damage while participating in the dog training and related activities on the property of IN PARTNERSHIP DOG TRAINING, in your own home, or in a public space. RELEASE OF LIABILITY You agree that in consideration for being permitted to participate in dog training provided by IN PARTNERSHIP DOG TRAINING, and/or to use any IN PARTNERSHIP DOG TRAINING’s facilities in connection with dog training, you, your own behalf for your heirs, next of kin, executors, administrators and personal representatives (collectively, “Releasors”), assume the entire risk associated with participating in such an activity and waive, release, discharge and covenants not to sue IN PARTNERSHIP DOG TRAINING, its owners, directors, officers, members, managers, employees, agents, sponsors, organizers, volunteers or other representatives, their successors and/or assigns, including but not limited to Jonathan Hepburn and Jane Koopman (collectively, “Releasees”), or any of them, from any and all liability to any of the Releasors for any loss, expenses, harm, damage, claim, personal injury (including death) or accident to your person or property, your dog, or any other persons accompanying you at the dog training, including any minor children, arising out of or related to participating in dog training, the providing of services to you pursuant to this Agreement, or using any facilities or equipment of IN PARTNERSHIP DOG TRAINING, even if caused by any negligent act or omission of any of the Releasees. Nothing herein is intended to release any of the Releasees from any harm, injury, claim or damage caused by his or her intentional, wanton or reckless misconduct. INDEMNIFICATION You agree that you are and will be responsible for your conduct and the conduct of your dog and others accompanying you (including minor children) at all times. You agree to indemnify and hold harmless each of IN PARTNERSHIP DOG TRAINING, its owners, directors, officers, members, managers, employees, agents, sponsors, organizers, volunteers and other representatives, including but not limited to Jonathan Hepburn and Jane Koopman (collectively, “IN PARTNERSHIP DOG TRAINING Personnel”), from any and all claims of personal injury (including death), loss, cost, expenses (including but not limited to legal fees and expenses), or damage to persons, dogs, or property caused by the acts or omissions of you, your dog, and any other persons accompanying you, including any minor children, during the course of training, receiving services from us under this Agreement, or related activities, as well as by the conduct of your dog under your own care as a result of following training instructions. This provision applies whether the claims are made by you, members of your family, your accompanying guests, any of the IN PARTNERSHIP DOG TRAINING Personnel, or other third parties. PERSONAL INFORMATION You consent to us collecting, storing and using personal information about you and your dog, including your name, address and contact information, for the purpose of providing the services contracted for under this Agreement and the handling and safekeeping of your dog and your personal safety. We will not disclose that personal information to any third party except you agree that we may disclose portions of that personal information to third parties only in the event it becomes reasonably necessary, and only to the extent reasonably necessary, for providing the services contracted for under this Agreement and complying with its terms, or the handling and safekeeping of your dog or your personal safety or the safety of others. RIGHT TO TERMINATE We reserve the right to terminate this Agreement if: -Any of the information you provided in the Intake Form is not true; -In our sole opinion your dog is vicious or dangerous to our trainers or any other dog or person; -In our sole opinion your dog interferes with the training of other dogs to an unacceptable extent; -In our sole opinion continuing to provide services for your dog is not in the best interests of any of the dog, you or us, for any reason. -If we terminate for any of these reasons we will refund to you the fees you have paid which are attributable to any unused sessions. ENTIRE AGREEMENT This Agreement, the Intake Form and the services and bookings chosen by you through our website and confirmed by us, constitute the entire agreement between you and us with respect to the services provided by us to you and there are no other agreements, undertakings, representations, warranties or understandings, written or oral, express or implied, other than as set out in this Agreement or those documents. This Agreement may only be modified by an express written agreement, made after this Agreement has been executed, which both we and you have signed. SEVERABILITY If any provision of this Agreement is held to be invalid or unenforceable, in whole or in part, the invalid or unenforceable provision or portion will be severed from this Agreement and will not affect the legality, validity or enforceability of any other provision of this Agreement. NO WAIVER No waiver of any provision of this Agreement will be binding unless made in writing. No condoning, excusing, or overlooking of any default, or failure or delay in exercising any remedy, will operate as a waiver of any subsequent default. TIME IS OF THE ESSENCE Time will be of the essence of this Agreement. GOVERNING LAW This Agreement, including the documents delivered in connection with this Agreement, will be governed by the laws of the Province of British Columbia and the federal laws of Canada applicable therein. Each of the parties irrevocably submits to the jurisdiction of the courts of the Province of British Columbia. ENUREMENT; NO ASSIGNMENT The terms of this Agreement will be binding on, and enure to the benefit of, you and us and our respective heirs, executors, administrators, legal representatives, successors and permitted assigns. This Agreement may not be assigned by either party without the express prior written consent of the other party. EXECUTION IN COUNTERPARTS AND ELECTRONIC DELIVERY This Agreement, and the Intake Form may be completed and/or signed in separate counterparts, each of which may be delivered through our website, by email or in other electronic form, and all counterparts together will constitute one and the same agreement. AUTHORITY TO SIGN, ACKNOWLEDGEMENT AND VOLUNTARY EXECUTION By signing Agreement, you and warrant that you are at least 19 years of age and competent to sign this Agreement and that you are the sole owner of the dog identified in the Intake Form or otherwise have full authority to enter into this Agreement with respect to that dog. You acknowledge that you have carefully read this Agreement, understand its contents, and agree to be bound by its terms. Without limiting the generality of the foregoing, you understand that this Agreement includes an assumption of the risk of IN PARTNERSHIP DOG TRAINING’s negligence, a release of IN PARTNERSHIP DOG TRAINING’s liability and an indemnity by you. By checking this box you acknowledge that you have carefully read this Agreement, understand its contents, and agree to be bound by its terms. I agree MEDIA RELEASE You consent to us taking photographs and videos of you and/or your dog. By signing below, you give IN PARTNERSHIP DOG TRAINING permission to publish in print, electronic or video format, the likeness or image of you and/or your dog and basic information concerning your dog, for the purposes of education or advertising or promotion of IN PARTNERSHIP DOG TRAINING. You release all claims against IN PARTNERSHIP DOG TRAINING with respect to privacy rights, publicity rights, copyright ownership and publication, including any claim for compensation related to use of the materials. I consent I do not consent You may use pictures or video of my dog, but not of me or my human family members. Any last questions or additions? Once you click submit below you will be able to purchase training packages and schedule your sessions. Thank you for taking the time to complete this form!If you have not yet. Please proceed to purchase and schedule sessions below or if you have questions prior to finalizing booking please email jane@inpartnershipdogtraining.com. We look forward to working with you!