Name *

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First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Availability *

Select all that apply

Mornings

Afternoons(12 PM-3 PM)

Evenings (After 5 PM)

Weekends

Anytime

Is your dog food/treat motivated? *

Yes

No

Can you dedicate 30 minutes to an hour per day for training your dog? *

Yes

No

What are you looking for with training? *

Puppy Training

Basic Obedience

Anxiety/Insecurity (Fear/Aggression)

Did you get your dog from a rescue? *

Yes

No

Do you have a crate for your dog? *

Yes

No

Does your dog have any health conditions? *

If 'Yes' please describe below

Yes

No

PLEASE READ LIABILITY WAIVER *

By submitting this form, I am providing my digital signature agreeing that Ryan's K9 Companion may email me or contact me regarding services by telephone and/or text message utilizing automated technology or a pre-recorded message at the telephone number(s) provided above. I understand this consent is not a condition to purchase services or other goods. Calls may be recorded for quality assurance. I understand that there are inherent risks associated with training, boarding, socializing, walking and working with dogs in general. I assume any and all responsibility for myself and my dog(s) during training, boarding, walking and any other work with Ryan’s K9 Companion, assuming due diligence and care have been exercised. I will not hold Ryan’s K9 Companion, Ryan Bullard and any affiliates or property owners responsible for any injuries or misfortunes (to or by me or my dog) while training, boarding, walking or any other work, should they occur. I further understand that due to the way that dogs interact with one another, cuts or scratches can occur to me or my dog, even though the dogs are carefully supervised. I also understand that my participation in any of these activities is not without risks such as tripping, falling, getting knocked down and jumped on, bitten, scratched, etc. I also understand that in enrolling my dog(s) into any of Ryan’s K9 Companion programs, that Ryan’s K9 Companion has relied upon my representation that my dog(s) are in good health and have received the necessary vaccinations (or equivalent alternatives) as agreed upon by my veterinarian. If my dog becomes injured or ill, Ryan’s K9 Companion shall have the right to call my veterinarian as designated on the Online Request Form. In the event of an emergency and my designated veterinarian is unavailable, Ryan’s K9 Companion has the right to take my dog(s) to the nearest animal hospital for immediate care. I agree to reimburse, in full, Ryan’s K9 Companion for any medical expenses accrued while under the supervision of Ryan’s K9 Companion. Ryan’s K9 Companion will not be held responsible for any decisions made by the veterinarian on the dog’s behalf. I hereby release and agree to save and hold harmless, Ryan’s K9 Companion, Ryan Bullard, any affiliates or property owners from any and all liability, claims, suits, actions, loss, injury or damage of any nature or kind, or for any liability, claims, suits, actions, loss, injury or damage which I or my dog(s) may sustain or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully indemnify Ryan’s K9 Companion, Ryan Bullard, any affiliates or property owners for any and all such liability, claims, suits, actions, losses, injury or damage. I understand that I am solely financially responsible for any damage or harm caused by my dog during training, boarding, socializing, or walking. I hereby agree to allow any picture, video or recording taken in the course of boarding, walking or training session to be used, posted and advertised by Ryan’s K9 Companion. I take it upon myself to ask questions and use my own common sense. I understand that I do not have to do anything or allow anything to be done that I do not feel comfortable with. I hereby agree to all the payment terms and conditions listed in email correspondence and listed on Ryan’s K9 Companion website. I certify that I have read and understand the rules and regulations set forth herein and that I have read and understand this agreement. I agree to abide by the rules and regulations and accept all the terms, conditions and statements of this agreement and confirm the truthfulness of the contents of this release form completed by me.

First Name

Last Name