THE RIGHT STEPS

THE RIGHT STEPS... Private, Semi-Private, and Group Private Lessons Application

Lesson Fee: ______________ - Please make checks payable to: The Right Steps

(Please circle one) Private Lesson / Semi Private Lesson / Private Group Lesson

(Please circle one) Puppy / Adult Dog / All Ages / Behavior Issues / New Dog Consultation

Lesson Date: __________ Time: ________

Owner’s Names:______________________________________________________________________________

Mailing Address:_____________________________________________________________________________

City:_____________________________________ State/Zip:___________________

Best Contact Phone Number(s): ______________________________________________________________

Best Contact E-Mail Address:

__________________________________________________________________________________________

Dog’s Name:____________________ Breed ____________________

Sex_________ Altered? Y/N Color_____________ Dog’s Birthdate___________

Age of dog when acquired_________ Were you able to meet/ handle the parents? Y/N

Name and Phone # of Veterinarian_____________________________________________________________

How did you hear about this Class?____________________________________________________________

Required Documentation for the Training located at The Right Steps Training Facility: Include copies of Veterinarian Receipts of Puppy or Dog's complete vaccine records. It is solely the Clients responsibility to provide copies of all required vaccines prior to the first lesson. Puppies and dogs without proper documentation will not be allowed entrance to the facility and there will be no refunds. For puppies under 16 weeks of age please provide copies current vaccines to date and thereafter any additional vaccines as puppy receives them while attending Private Lessons. We reserve the right to contact your Veterinarian at anytime for health or vaccination questions.

Please note: for puppies and dogs 16 weeks and older all current vaccines (including Rabies Certificate for puppies 5 months and older) are required. Bordetella is "highly" recommended every 6 months, to avoid the contact and/or spread of the Kennel Cough Virus. Please make us aware of any special health concerns for your puppy or your Veterinarian prior to your lesson (vaccine or food allergies, illness, physical limitations, spay/neuter, etc.)!

Puppy or Dog Profile

Not including littermates, how many puppies/ dogs has your puppy played with? _____

How does your puppy respond to other dogs on leash?______________________________________________________________________________________________

How does your puppy respond to other dogs off leash?

______________________________________________________________________________________________

How does your puppy respond to guests in your home?

______________________________________________________________________________________________

Will your puppy allow new people to pet/handle it?

______________________________________________________________________________________________

If the answer to any of the questions below is ‘Yes’, please use the bottom or back of the second page of this application/form to describe the situations in more detail.

Has your dog ever growled /snapped or in any other way exhibited aggression to you or a family member?_____ What about an unfamiliar person?_____ To your vet? _____ Other animals? ____ Children? ______

Has your puppy ever guarded food or toys?_________ When scolded? __________

Growled/snapped when restrained or interrupted?________ Growled when being disturbed?_______

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*What are the issues most concerning you at this time?

______________________________________________________________________________________________

*What are your goals for your lessons?

______________________________________________________________________________________________

Cancellation Policy: Student must call to reschedule or cancel lessons within 24 hours prior to the lesson. Students cancelling after 24 hours forfeit their training fee in full. Discount Package Requirements: A 3 week package must be completed within 5 weeks from the date of purchase and 4 week package must be completed within 6 weeks of purchase. Lessons not completed will be forfeited. "No refunds".

Signature: ___________________________________ (Please include and sign the Waiver of Liability, enclose a check or cash for appointment amount due as agreed via phone based on location, and all vaccine records including Rabies & Bordetella) “Thank you.”

For lessons to be held at The Right Steps Training Facility: Please read our Facility Rules. Please Initial _____ here you have read and understand the Facility Rules in full. "Thank You."

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Mail application to: The Right Steps, P.O. Box 1717, Fair Oaks, CA 95628
Application MUST be accompanied by Liability Release & Copy of Current Vaccine Records.

Questions? Contact Cindy C. Smith at (916) 966-6883

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