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Training and boarding consent form

Owner Name

Owner address

Email

Contact number

Dog Name

Breed & Age

Sex

Desexed ?

Microchip number

Is your dog up to date with flea and tick prevention?

Is your dog up to date with worming ? Please write when your dog was last wormed

Is your dog up to date with vaccinations? They must have c5(canine cough) please write yes or no

Does your dog need medication?

Please list any medical problems your dog has

Does your dog have any allergies?

Has your dog been socialised with other dogs and people ?

Is your dog toilet trained ?

Is your dog crate trained ?

Does your dog suffer from separation anxiety?

Please tick any that your dog has a problem with

What other things should we know about your dog ?

If you have more than one dog that needs training or boarding, then you will need to fill out a separate form for each dog

Emergency Contact Name

Emergency Contact Phone

Veterinary practice

Veterinary contact number

In an emergency if jasmine is unable to contact me or my representative or unable to transport my dog to my usual vet, I agree to have my dog treated at bomaderry vet clinic

A
B

Services Required

Please upload vaccination records here

Liability Waiver & Consent


Service agreement 
• Rogue k9 training agrees to exercise due and reasonable care in the handling of dogs and in keeping the property enclosed and sanitary
• The client understands that all dogs admitted must be in good general health and in consultation with their veterinarian and must take precautions against contagious illness and parasite exposure
• Dogs must be on flea and tick prevention program during attendance 
• Rogue k9 training reserves the right to refuse admission or terminate service to any dog for any reason
• The client acknowledges that at rogue k9 training sometimes dogs play and interact directly with one another off leash. Due to this environment, injuries to dogs may occur such as nicks and scratches. The client agrees that rogue k9 training will not be held liable for any injuries or illness suffered by their dog while in the care of the property
• The client expressly waives any and all claims against rogue k9 training for any loss or damage due to theft, disease, fire, escape, injury or illness or other unavoidable causes, for which due care and diligence have been exercised
• For small injuries that do not require the services of a vet, rogue k9 training will provide basic first aid and tend to the dog throughout the day. Clients may or may not be contacted in this instance depending on the severity of the injury, but will be informed at time of pick up
• In the case of serious injuries rogue k9 training reserves the right to transport the dog to a local vet
• The client will be responsible for all vet charges and treatment 
• Rogue k9 training will attempt to contact the client, followed by an attempt to contact the emergency person listed and the dogs own veterinarian, but reserve the right to transport the dog to a vet if necessary
• Clients understand that dogs will be placed in a timeout area for nuisance behaviours like humping, mounting and rough housing
by signing below…...
• I agree that the information I have provided is true and correct to the best of my knowledge 
• I agree to written and verbal terms and conditions applicable to attendance, care and training undertaken by rogue k9 training. The written requirements are above and in the form documents 
• I understand rogue k9 training will take every care possible in caring for my dog/s, but will not be liable for any accident, injury or misadventure for which they are not directly responsible


By signing this form, I acknowledge that dog training and boarding involve inherent risks. I release rogue k9 training from all liability for injuries or damages that may occur during the service period.
I agree to the terms and sign here: