Training Registration and Liability Release

Buchele's K-9 Service, LLC

Please complete and submit the Training Registration Form and Liability Release for all private sessions and group training classes. If you would prefer to use a paper form, one can be printed by clicking on the picture of the notebook to the right:

Paper Training Registration form is an Adobe document. Please click here to get a free copy of Adobe Acrobat Reader.

Dog's Birthday (approximate, if unknown) including year:

Emergency Contact Name/Relationship:

Veterinarian's Name/Practice:

Dogs must be current on DHLPP-CV, Rabies, and Bordatella vaccines. We require proof of current vaccinations from your veterinarian at or before the first private session or group class. Is your dog current on all three?

Does your dog live in your home?

Do you have other pets? If yes, please list.

Is your dog house trained?

Is your dog crate trained?

Does your dog interact well with people? If no, please explain.

Does your dog interact well with other dogs? If no, please explain.

Can you take toys and/or food from your dog? If no, please explain.

Has your dog ever bitten a human? If yes, please explain.

Has your dog ever bitten another dog? If yes, please explain.

Please share what you like about your dog.

Please share what you don't like about your dog and/or would like to change.

What are your goals for your dog?

Have you had any behavioral issues with your dog? If yes, how did you address them and were you successful?

Do you have any specific issues with your dog you would like to address?

If yes, please specify.

Is your dog on any medications? If yes, please list.

Do you or your dog have a medical condition we should be aware of? If yes, please explain and let us know how we can better serve you and your dog.

Do you or your dog have any severe allergies (nuts, dyes, cleaning agents, latex, etc.) we should be aware of? If yes, please list and explain restrictions.

Please share anything you think would help Buchele's K-9 Service, LLC, better serve you and your dog.

Please type your name here:

To send all information and signed release, please click on the Submit button, or Reset to start over. Thank you!

How old was your dog when you got it? Where did you originally get your dog (breeder, rescue, pound, etc.)? Please be specific. Were there any unusual circumstances? Please be specific.

Class you are registering for:

Companions on a Journey.

What kind of dog food do you feed your dog? (Brand and dry, canned or roll) How long has your dog been eating this particular food?

Where did you hear about Buchele's K-9 Service, LLC? Did a previous or current student refer you? If so, who? (we would like to thank them!)

Liability Release
I understand that attendance at a private or a group dog training class, event, and/or function is not without risk to myself, to anyone who may attend with me and to my dog(s), since there may be situations and dog(s) to which I will be exposed that may be difficult to control and may be the cause of injury to persons or dogs, even when handled with the greatest amount of care and precaution.

I assume full responsibility for myself, my dog(s), and for anyone attending with me.  I further agree to hold Buchele's K-9 Service, LLC, Ken Buchele, Laurie Buchele, its agents, volunteers, employees, and facility/property owners and management faultless for any illness, injury, or loss that my occur to myself, to my dog(s), and to anyone attending with me.

I, the owner of the dog described above, hereby agree to secure a proper collar and leash as directed by Buchele's K-9 Service, LLC, and to wear proper clothing and shoes to permit effective training of my dog.  I agree to provide proof of vaccinations as requested and understand my dog may not be admitted to class and/or a private session will not occur without such proof.  I pledge to abide by the statements in this waiver and will insure the same of my companions.

I understand that the degree to which a dog is successfully trained is a function of the interest, commitment, and cooperation of the owner/handler.  I acknowledge and agree that there is no guarantee of what my dog will achieve in training based on the instruction given, but that I as the owner/handler of my dog(s) am responsible for teaching and training my dog(s).

By typing my name on this registration, I acknowledge that I have read the Liability Release and agree to its terms.  I also acknowledge that all information is complete and accurate to the best of my knowledge.