Grad School Application

Client Name (required)

Street Address

City, State, Zip

Phone Number

Email Address (required)

Dog Name

Dog Breed and Age

Dog's Approximate Weight

Requested Start Date of Stay

Drop Off Time (Drop offs before 9am will be charged an extra night)

Requested End Date of Stay

Pick Up Time (Pick Ups after 8pm will be charged an extra night)

Is Your Dog Spayed/Neutered?
—Please choose an option—YesNo

Is The Dog Housetrained? If so, how reliable? Explain.

Is your dog crate trained?
—Please choose an option—YesNo

How does your dog do with other dogs?
—Please choose an option—IndifferentReactive/AgressiveFriendlyTOO FriendlyNever Been Around Other Dogs

How is your dog affiliated with K9 Solutions?
—Please choose an option—Completed Training SchoolCurrently Enrolled in Group ClassesHad a Private Consult with a TrainerCompleted Group Classes Within the Past YearCompleted Group Classes More than a Year AgoOther: Explain in Additional Notes Below

How Often Does Your Dog Eat?
—Please choose an option—One in MorningOnce in EveningTwice a DayThree Times a Day

How Much at Each Meal?

How Many Hours is Your Dog Typically Alone?

Additional Notes For Us

Vet Name

Vet Phone Number

I authorize K9 Solutions to take my pet to the above-named veterinarian for veterinary care if, in their opinion, care is needed and I will be responsible for payment for treatment. If it is an immediate emergency and my regular clinic is not open or it is a matter of life or death of the pet, I give K9 Solutions of Central North Carolina the authority to take my pet to the nearest emergency clinic and I assume all financial responsibility for any bills incurred up to the amount authorized below. I also understand that K9 Solutions of Central North Carolina will be released from all liability related to the treatment, expense, or loss of my pet.

I Agree

I authorize K9 Solutions to approve treatment up to: (provide $ amount)

Is your dog up to date on all vaccines?
—Please choose an option—YesNo

Date of Last Flea Prevention Medicine (*If fleas are found while your dog is with us, we will treat the dog at the owner's expense unless directed otherwise)

Date of Last Heartworm Prevention Medicine

Is your dog on any medications currently? If yes, provide name and dispensing instructions.

I authorize K9 Solutions to dispense medications as directed above.
I Agree

How did you hear about our program?

May we have your permission to use class/consult photos and/or videos in our marketing program?
—Please choose an option—YesNo

I understand that training is not without risk to my dog. I hereby waive and release K9 Solutions of Western North Carolina LLC, its officers, employees, owners, members, contractors, and agents from any injury or damage resulting from the action of the dog, and I expressly assume the risk of any such damage or injury while attending any training session, or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training I hereby agree to indemnify and hold harmless K9 Solutions of Western North Carolina LLC, its officers, employees, members, contractors, agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or while on the grounds or surrounding area thereto as a result of any action of any dog, including my own.
I Agree

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