Dog Aggression Information Form & Contract

Name *
Sex of dog
Last Vaccination Date
Last Vaccination Date
Date of Last Flea Treatment *
Date of Last Flea Treatment
Is your dog desexed?
If female, next season due:
If female, next season due:
If your dog is not desexed are you willing to desex them? *
Is your dog insured?
Is your dog on any medication?
Has your dog ever been any type of working or service dog?
Is your dog happy around children?
Is your dog happy around other dogs?
Does your dog travel well?
Are you happy for your dog to be walked off lead?
How does your dog react to strangers/children?
How does your dog react to unknown dogs?
Has your dog ever attacked another dog resulting in severe injury or death to another dog?
Is there any report of your dog ever inflicting a serious bite to a person (such as an attack or bite resulting in hospitalization)?
Has your dog ever attacked another domestic species (cats, livestock etc) resulting in severe injury or death to that animal?
Has your dog ever been declared a 'Dangerous Dog' in Queensland or any other state?
Does your dog chase or attempt to chase any of the following?
Has this become progressively worse as your dog has got older?
Does your dog display these signs with every dog?
Where does your dog stay when you are out of the house?
Do allow your dog inside your house?
Do you allow your dog on the furniture? (Lounge/Bed?)
Does your dog have any form of separation anxiety, mild or severe? Please include any whinging, scratching at doors however mild. *
How frequently does your dog bark?
Have you ever received any letters from the council with regards to your dog barking excessively?
Gold Coast Dog Trainer will endeavour to create as safe an environment as possible for the training and potential board of my dog and will offer only sound, safe, and responsible training and training instructions. However, I recognize that Gold Coast Dog Trainer is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times and I hereby agree to indemnify and hold harmless Gold Coast Dog Trainer of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Gold Coast Dog Trainer instruction or control and under my own care as a result of following training instructions. I have been told by Gold Coast Dog Trainer and understand the inherent risks of owning a dog, including but not limited to the risk of dog bites to myself or others. *
Please Acknowledge
I authorize Emergency medical care to be provided for my dog by a veterinarian nominated on this form or Wet Noses Mobile Vets or an appropriate alternate to be determined by Gold Coast Dog Trainer and in the event that the regular veterinarian is not available or that closer care is required. I understand I am responsible for any and all veterinary costs and agree to reimburse Gold Coast Dog Trainer for any charges related to emergency care. *
Check Acknowledgment
I authorize Gold Coast Dog Trainer to administer and seek First Aid and resuscitative care for my dog as determined appropriate by Gold Coast Dog Trainer and I agree to indemnify and hold harmless for any and all results thereof. *
Check Acknowledgment
Current vaccinations records, or Titer Test Results and proof of spay/neuter (from your veterinarian) must be on file at time of service. Please scan or take a picture of these documents and send them to prior to drop-off. We will not admit any dog without proper identification/tags, vaccination records, spay/neuter documentation, and signed agreements. *
Check Acknowledgment
Any dog in heat, exhibiting symptoms of illness, injury, or any life-threatening or contagious condition (sneezing, coughing, wheezing, runny eyes or nose, vomiting, lethargy, diarrhea, loss of appetite, limping, canine distemper, parvo, etc.) will be excused from future services until such illness or injury has been remedied. It is the OWNERS responsibility to pick dog up from Gold Coast Dog Trainer promptly upon notification, or send Emergency Contact to do so. Your dog must be up-to-date on vaccinations and wearing identification/tags attached to a secure, flat, nylon or leather collar. Your dog must be on leash upon arrival and departure.
Check Acknowledgment
I understand that all dogs will be boarded at the trainer’s home address and that any member of Gold Coast Dog Trainer as listed on their website may have responsibility for my dog. Owner gives Gold Coast Dog Trainer its owners, operators, and/or staff permission to transport dog/dogs to and from dog parks, reserves, beaches or any places deemed necessary for training. They further understand the inherent risks associated with transportation such as, but not limited to, loss or injury due to accident; owner agrees to assume all risks and financial costs associated with said transportation. *
Check Acknowledgment
I understand that my dogs will be trained using balanced methods. I also understand that although my dogs will learn multiple behaviours, basic obedience, new routines, and management while in the care of Gold Coast Dog Trainer, it is my responsibility to maintain this learning upon their return to the home environment. Dogs do not generalize well. This means that behaviour taught while in Gold Coast Dog Trainer care will only be solidified through clear, calm and consistent repetition once home. Gold Coast Dog Trainer recommends owners commitment to continued education through group classes and private instruction to proof and generalize training. *
Check Acknowledgment
Animal behaviour is never fixed or static; it changes depending on circumstance and environment. Even trained behaviours will fade or extinguish over time without consistent repetition and practice. Especially in cases of fear or aggression, although behaviour may be modified, the dog is never “cured”. A dog’s behaviour is ultimately the responsibility of the owner. I understand that no guarantee’s can be made with dog training and as such after programs are completed there are strictly no refunds. *
Check Acknowledgment
Photo/Video Release (All Clients) I hereby assign and grant to Gold Coast Dog Trainer the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training and/or boarding of my dog(s) by Gold Coast Dog Trainer, and I hereby release Gold Coast Dog Trainer from any and all liability resulting from such use, reproduction, distribution, and publication. I hereby authorize the reproduction, sale, distribution, copyright, exhibit, broadcast, and/or electronic storage of any and all such photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) without limitation at the discretion of Gold Coast Dog Trainer and I specifically waive any right to any compensation I may have for any of the foregoing. Please check that you have read these terms and Agree to this Photo/Video release Agreement.* * *
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