New Client Registration Please enable JavaScript in your browser to complete this form.Name *Email *Phone Number *Street Address *Zip Code *How did you hear about us? *Pet's Name *Pet's Breed/Mix *Pet's Age *Pet's Sex *FemaleMaleIs your pet spayed/neutered? *YesNoWhere did you get your pet? *Please list all other animals in household, including: breed, age, sex and spayed/neutered *When was your last vet visit and what were the results of that visit? *Please explain any past or current medical conditions for your pet: *Please list any medications or supplements (including parasite prevention) your pet is taking:Veterinarian Clinic Name: *Veterinarian Clinic Phone Number: *If necessary, may we consult with your veterinarian about your pet? *YesNoWhat type/brand of food does your pet eat? *(ex. Fromm Puppy Formula dry kibble)Does your pet have any allergies? *YesNoIf yes, please provide more info about allergies here:Has your pet been through any training in the past? *YesNoIf yes, where did you do the training? How long ago did you do the training?What are your primary behavior concerns? *Has your pet ever growled/hissed at a person? *YesNoHas your pet ever bitten a person? *YesNoIf yes (for bite), please list all incidents including who the pet bit (gender/age) and the context in which it happened:How many times does your pet eat per day? *1-2 times per day3-4 times per dayNot sureWhat are your pet's favorite toys? Select all that apply. *BallsStuffed toysRubber toysTug toys/ropesChew toysMy dog doesn't play with toysIs your pet sensitive to any noises? Select all that apply. *ThunderstormsDoorbell/knockingLarge trucks (garbage, buses, etc.)SirensElectronic noisesDogs barkingPeople's voicesOtherNoneHow does your pet behave at the vet? Select all that apply. *Need to muzzle at or prior to vetScared - tail tucked, hidingScared but tolerant of handlingSeeks out affection, treats, or play from staffNot sureDo you have any other information to add at this time?Training Agreement: Smiles Dog Training (Sara Miles) will endeavor to create as safe an environment as possible for the training of my pet and will offer only sound, safe, and responsible training and training instructions. However, I acknowledge that there are certain unavoidable and inherent risks in any canine or feline-related activity, including physical injury to me or to my pet and damage to my property. I therefore assume the risk of any injuries, damages or loss which I might sustain as a result of participating in the Smiles Dog Training (Sara Miles) training program and I hereby release Smiles Dog Training (Sara Miles) and its members, independent contractors, officers, agents, servants, employees, and affiliates, and I hereby indemnify such releasees against and hold such releasees harmless from any and all claims, costs and causes of action, known or unknown, actual or contingent, which I have or may come to have as the result of or arising out of my participation (with my pet or otherwise) in the training program, and I waive the benefit of any statute which provides that unknown claims may not be waived. Further, I acknowledge and agree that I am and will remain responsible for the actions of my pet at all times and I hereby indemnify and hold harmless Smiles Dog Training (Sara Miles) and its members, independent contractors, officers, agents, servants, employees, and affiliates of any and all claims of injury, expense, costs, or damages caused by or related to the actions or behavior of my pet while participating in the training program or at any time related thereto. I also understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. I understand these policies apply to both in-person and online services. *Please initial that you have read and understand the training agreement above.Cancellation Policy: Cancellations of a group class session must be made at least ten (10) days prior to the first class for a full refund. Cancellations not requested 10 days prior to the first class will be charged a $50 administration fee, unless for an emergency (see section below), to cover time and class materials. Cancellations due to emergencies (loss of family member or loved one, surgeries, illnesses, etc.) are a special consideration, and the trainer will do their best to work with the client to reschedule, if possible. If rescheduling is not possible, a full refund will be issued. Smiles Dog Training (Sara Miles) reserves the right to request documentation for medical emergencies to process a full refund. Private Training: All training packages are allowed one session to be rescheduled due to an emergency. Canceled appointments must be rescheduled at the time of cancellation and must occur within one week of scheduled appointment that was canceled. Failure to do so results in forfeiture of that training session. Subsequent cancellations result in forfeiture of those canceled sessions. Group Class: No make-up sessions for linear classes. For modular classes students may attend another class that suits their needs. If the trainer needs to cancel a class/lesson due to illness or weather, Smiles Dog Training (Sara Miles) will make every attempt to notify you 24 hours before the session is scheduled to begin, and a make-up date will be scheduled. These policies apply to in-person and online services. *Please initial that you have read and understand the policy above.Payment/Refund Policy: All payments should be made via the PocketSuite client management system used by Smiles Dog Training, unless otherwise discussed. To reserve your spot in a class, payment must be remitted at least five (5) days prior to the start of your first class. See above cancellation policy for group class refunds. Because space is limited in our classes, Smiles Dog Training (Sara Miles) enrolls participants on a first come, first served basis. Smiles Dog Training (Sara Miles) reserves the right to move unpaid participants to a waiting list if payment is not remitted within the stated timeframe. All private sessions must be paid for at least 24 hours prior to the appointment. Appointments missing pre-payment may be rescheduled unless alternative payment arrangements have been made. For private training programs, Smiles Dog Training (Sara Miles) will make every effort to coordinate, schedule and complete all prepaid sessions in a reasonable time frame for all parties. Should there be a lapse in your training, Smiles Dog Training (Sara Miles) will send three in writing inquiries to attempt to complete your training program. If you fail to coordinate, schedule and complete your prepaid training sessions after 6 months of purchase and after Smiles Dog Training (Sara Miles) has made three in writing inquiries to schedule your training, your sessions will be forfeited. Since all training programs are entirely dependent on the pet owner's commitment to the implementing the training program, refunds are not available for any services already completed. These policies apply to both in-person and online services. *Please initial that you have read and understand the policy above.Do you agree to receive communications from Smiles Dog Training via text/email, and also from their client management system PocketSuite? *YesNoDo you want to subscribe to our monthly email newsletter & receive free training tips straight to your inbox?Yes, sign me up for your email tips!Photo and Video Release: Smiles Dog Training (Sara Miles) takes photos, screenshots, and videos of pets during their training plan to track progress. We also use these materials to promote services on social media and our website. Pet owners can opt-out of these materials being used on social media by contacting us at info@smilesdogtraining.net. *Please initial that you have read and understand the release above.Submit
