Client/Pet Information Training

Forest Bluff Training Group Client and Pet Information Form

* Indicates required field

Your Name *

First

Last

Spouse or Co-Owner's Name *

First

Last

Email *

Primary Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Pet's Name *

Gender *

Female Male Female Spayed Male Neutered

Breed & Color *

Age/Birth date *

Consultation Questionnaire

Please select the following behavioral issues you are experiencing. If none of these apply type N/A in the box below. *

Excessive jumping when greeting or excited

. *

Destructivness

. *

Mouthiness

. *

Countersurfing/begging

. *

Potty training/Bathroom accidents

. *

Rough or inappropriate play

. *

Pulling on leash

. *

Excessive barking

Please give more information on the behaviors above. *

Select one *

Adopted from shelter/rescue From breeder

How old was your dog when you got them? *

If they were adopted from a shelter or rescue, what do you know about their history? *

Does your dog know any obedience cue's? If so, what are they proficient in? *

Does your dog shown any signs of anxiety? If so, please explain. *

If yes, what signs do they show (Aggression, Drooling, Excessive panting, Excessive Barking, Pacing, Restlessness, Destructive Behavior, Urinating or Defecating in the house, Cowering, Repetitive or Compulsive Behavior) *

Has your dog shown any aggressive behaviors towards other dogs or humans? *

Has your dog shown any signs of resource guarding (aggressive behavior around valued items) towards humans or other dogs? Ex. food, water, toys, beds, people, house etc..) *

Does your dog show any reactivity to people or other dogs on or off leash? (Lunging, barking, growling) *

How does your dog behave when meeting strangers? *

How would you describe your dog's play style with other dogs? *

Are there any dogs that your dog does not get along with. Ex. specific play style, breed, size? *

Is your dog crated or free roam? If crated, how does your dog do when left alone? *

Have you done any formal training (group classes or private lessons) with your dog currently or in the past? *

Does your dog have any pre existing medical conditions or dietary restrictions/allergies? If yes, please explain *

If yes, please bring treats that they will work for to prevent any allergy or intestinal reactions

Does your dog take any prescribed medications? If so, for what? *

What are your biggest goals for training? *

Comments *

How did you hear about us? *

May we share images of your pet on our website, social media or printed materials? * *

Yes No

Name of current Veterinary Hospital *

If your dog currently goes to Forest Bluff Animal Hospital, just type FBAH for the Date Given for Vaccines and for the Fecal test last done.

Rabies Date Given *

Dap / Dhlp Date Given *

Bordetella Date Given ( Required every 6 months) *

Fecal test last done on? (Required every 6 months) *

Last dose of Flea and Tick prevention given on? (Prevention required for Training) *

Training Requirements

Payment is due at time of service or prior if you choose to purchase a package
If your dog is sick, please do not bring them to class (Coughing, Sneezing, Lethargic).
The instructor reserves the right to remove dogs from the training area who show aggressive behaviors towards people or other dogs. In these cases private lessons may be recommended. Please be sure to disclose any aggressive tendencies that your dog may have to the trainer prior to registering.
During day training all dogs must be dropped off and picked up on a standard leash with a collar and or harness at all times.
Please do not interact with the other dogs in class unless specified by the trainer.
Must be on and able to verify flea and tick prevention.
Dogs that exhibit separation anxiety/excessive barking when being kenneled for short periods will not be able to attend day training. If your dog is not comfortable in a kennel private lessons will be recommended.
If you have any question's regarding the rules and requirements for training please contact us at [email protected].

Statement of Ownership and Waiver of Liability

I, the undersigned hereby, acknowledge that I am voluntarily participating in Dog Training with Forest Bluff Training Group. Forest Bluff Training Group will exercise all necessary and proper care and precautions to keep all participants and dogs safe during training sessions in order to prevent injury to any person, property, other dog or person. However, because dogs are animals and may be unpredictable, Forest Bluff Training Group cannot protect against every potential injury, risk or accident. This Release and Waiver are intended to shift the risk of participating in dog training to the Participant/Owner/Guardian of the dog participating in training.

I acknowledge that I have had full opportunity to discuss any and all concerns I have regarding foregoing risks with Forest Bluff Training Group and its authorized representatives.

Participant agrees to hold harmless Forest Bluff Training Group from any and all claims of injury, loss, cost, expenses, or damage caused by the actions of Participant's dog during the course of training or under the care, custody or control of Forest Bluff Training Group. I hereby accept and assume, without reservation, all risks associated with my participation in the training program, including, but not limited to: the risks of any and all injuries to myself, my dog and any of my family members or third parties who may attend; the risks that my dog may cause injury to other persons and/or dogs involved; and the risks that saliva, water, food, and/or other debris may be present in the training area. I have read and understand Forest Bluff Training Group Policies and agree to abide by them.

As lawful consideration for participating in the training program, I, for myself, my heirs, next of kin, executors, administrators, legal representatives, successors and assigns (the “Releasing Party”), hereby waive, release, discharge and covenants not to sue and to indemnify, defend and hold harmless Forest Bluff Training Group, and their members, managers, agents, and employees (the “Released Party”) from any and all injuries, losses, claims and damages to any person or persons of any nature its directors, officers, employees, agents, sponsors, organizers, volunteers or other representatives, their successors and/or assigns, (hereinafter collectively the “Releases”) from any and all liability to the Undersigned for any loss, harm, damage, claim, injury or accident to the person or property of the Undersigned, whether caused by any ordinary negligent act or omission of the Releases while the Undersigned or his/her dog is engaged in or participating in dog training/boarding or using any Trainer or Business facilities in connection therewith. This Waiver of Liability & Informed Consent Release shall be legally binding on the Releasing Party. Further, Should the Releasing Party assert a claim to the contrary to what I have agreed to in this Waiver of Liability and Informed Consent Release, the claiming party shall be liable for all expenses (including attorney’s fees, court costs and consultant fees) incurred by both the Releasing Party and the Released Party. No waiver or modification of any provision herein shall be valid unless expressly agreed to in writing by both the Released Party and the Releasing Party. I hereby consent to my dog being the subject of the photographs and/or audiovisual recording and authorize Forest Bluff Training Group to cause the same to be exhibited for educational purposes or marketing tools as still photographs, video or other similar media. Every provision herein is intended to be severable. If any one or more of the provisions herein is found to be unenforceable or invalid, that shall not affect the other terms and provisions hereof, which shall remain binding and enforceable. This foregoing release and waiver, and assumption of risk is intended to be as expansive, broad and inclusive as permitted by Illinois law.

By checking below, you certify that you are the owner/agent of the animal(s) listed above, and that you understand the terms listed above. You also certify that you will assume responsibility for all charges for the cost of training per day.

Ownership and Waiver of Liability Confirmation *

I agree

Name *

First

Last

So that we can better assess your dog's training needs, we do require a consultation prior to the first training session. This consultation fee is $50.00 and can be used towards future training.

I understand and agree to the consultation fee of $50.00 *

I agree

If you need to reschedule a lesson please give us a minimum of 24 hours advance notice. Late notices and no shows will result in loosing the scheduled lesson. All refunds will be done on a case to case basis, please contact the front desk at (847)999-7387 *

I agree

WE REQUIRE AN UP TO VACCINATION CERTIFICATE AS WELL AS FECAL RESULTS, AND BORDETELLA EVERY 6 MONTHS FROM YOUR VETERINARY HOSPITAL PRIOR TO FIRST SESSION.

(This does not apply to Forest Bluff Animal Hospital clients) Please have the vaccination certificate and fecal results emailed to

[email protected]

 Please bring treats that your dog will work for. You are also welcome to bring a meal if they are attending class for a full day.

Submit

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Hours of Operation

Monday    9am-6pm
Tuesday    9am-6pm
Wednesday 9am-6pm
Thursday 9am-6pm
Friday 9am-6pm
Saturday    9am-1pm
Sunday Closed

Contact Us

Forest Bluff Animal Hospital
968 N. Shore Drive
Lake Bluff, IL 60044
847-999-PETS (7387)
[email protected]

Find Us

Emergency Information

BluePearl Veterinary Partners-24 hour emergency center
820 Frontage road
Northfield, IL 60093
847-564-5775
bluepearlvet.com/northfield-il/

Premier Veterinary Group - 24 hour emergency center
1385 Townline Road
Mundelein, IL 60060
847-548-5300
www.premiervets.net/

Veterinary Specialty Center-24 hour emergency center
2051 N. Waukegan Rd
Bannockburn, IL 60015
847-459-7535
www.vetspecialty.com/

Forest Bluff Training Group Client and Pet Information Form

​Consultation Questionnaire

Statement of Ownership and Waiver of Liability

Hours of Operation

Contact Us

Find Us

Emergency Information

Consultation Questionnaire