Liability WaiverA purchase/free attendance of a private and or group training session with Penny Layne or any other instructor who represents APPS, signifies an agreement to abide by the following terms:This agreement is between AUNT PENNYS PET SERVICES ( APPS) andClient*now known as "CLIENT"Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* hereby, wishes to consult and or train with an APPS instructor about the behavior of his/her companion dog for the purpose of modifying the dog's behavior. The dog (in training) is named*The dog is a (breed type if known)*"CLIENT" also understands and agrees that APPS and all of the APPS instructors, assistants and volunteers are in no way responsible for the behavior of the animal at any time, not now or in the future. Client further understands that every dog reacts in a different manner to training and behavior modification and that animals are, by nature, unpredictable. Therefore, animal training and behavior modification require full attention and total awareness at all times. Animals may, without warning, cause injury to humans and/or other animals.I hereby release Aunt Pennys Pet Services/Penny Layne and all APPS instructors, assistants and volunteers as to attacks, bites, mauling, or all of them, by the aforementioned animal indicated above upon any person or animal. I hereby agree to exercise caution for the safety of myself, the animal, those around me and those animals around me while working with the animal. I agree to the terms of this consultation agreement and understand that any injuries received by me or by my pet or other persons or animals while working with the animal are my own responsibilityPlease check if your dog… My dog HAS bit a person My dog HAS nipped a person My dog HAS bit another animal My dog HAS killed an animal I have been told by my vet or another dog professional that my dog is aggressiveDog BehaviorsMy dog has bit a person causing bruising or medical care:*YesNoMy dog has killed a person:*YesNoMy dog has attacked or bit another dog:*YesNoPlease describe medical care needed for the other dog.My dog has killed a dog or cat:*YesNoI have been told by a veterinarian that my dog is aggressive :*YesNoWhat caused the vet to make that comment?Your Vet InformationPlease initial to indicate your permission to contact your vet.Vet NameVet PhonePermission to Contact I have been told by a dog trainer that my dog is aggressive or unsafe :*YesNoIf you've been told your dog is aggressive or unsafe, what caused the trainer to make that comment?Your Trainer InformationPlease initial to indicate your permission to contact your trainer.Trainer NameTrainer PhonePermission to Contact Is there anything else you would like the dog trainer to know about you or your dog?Please check that you acknowledge the following:* I understand that I must be honest with the instructor so the instructor may be able to properly prepare for each session. I understand that I must let the trainer know if any of the information on my dog changes including if he/she becomes aggressive in any way. My dogs vaccines are current. I will keep my dogs vaccines current including rabiesThis release may not be changed orally. I agree that my electronic signature is the legally binding equivalent to my handwritten signature and acknowledge that I have read and agree to the above terms.* I agree to the terms and conditionsThis agreement is dated* Date Format: MM slash DD slash YYYY Signature*
