Course registration What would you like to register for?* Sept 6th Tues/Thurs 11am Sept 6th Tues/Thurs 6pm Sept 6th Tues/Thurs 730pm Sept 6th Wed/Sun Early Sept 6th Wed/Sun Late Please fill out the waitlist form if you are interested in waitlisting for a class.Name* First Last Name(s) of anyone attending class with youEmail* Cell Phone Number*Address*City/Town*Postal Code*What neighborhood do you live in?Dog's name*Dog's breed (guess if you are unsure).*Dog's date of birth Dog's current age*Dog's Gender*Dog's Weight*you dog's current approximate weight!How old was your dog when you got him/her?*How old was your dog when they were removed from their mom/litter?*What brand of food does your dog eat?*How did you hear about Cultured Canines?* Internet search Referred by someone (please specify who! We like to say thank you!) Facebook Twitter Instagram Met Cultured Canines staff in person Other Who were you referred by? (leave blank if not applicable.)Meet us at the Pet-a-Palooza, Pet Expo or Women's show? Please let us know who you chatted with!Does your dog have a City of Calgary dog license?*YesNoIt's in the mailAre you a first time dog owner?*YesNoHad a dog growing up, but this is your first dog.What would your ideal relationship with your dog be like?*What goals would you like to accomplish through training?*Why did you get your dog?*Where did you get your dog from?*What is something you currently love about your dog?*Have you ever considered surrendering your dog? If so, please provide details as to why.*Is your dog spayed/neutered? How old were they when the procedure was done?*What problems are you having with your dog?* Pulls on the leash Jumping up on people Unreliable Recall Separation Anxiety Only listens when you have a treat Defecation and urination in the house Counter surfing Aggression Fear and insecurities Not listening to commands Barks when the doorbell rings Barks at bikes, skateboards, cars, ect.. Rough play Aggression around food Aggression towards other dogs Aggression towards people Excessive chewing Possessive of people, dogs toys or other objects Prey drive Excessive or obsessive behaviours Please elaborate on any major concerns with your dog's behavior:Has your dog ever bit another person or dog? If so, was blood drawn? Please provide details.*How does your dog act in new situations?*On average, how many minutes is your dog walked per day?*Does your dog go to a daycare or have a dog walker? Please specify which company and how many times per week.*Do you have other pets? Please specify species and ages.*Do you or your dog have any physical or health limitations that would prevent you from participating fully in training sessions? If so, please provide details.*Have you done any other dog training courses? Please explain the result of your previous training experience. What did you like, what did you dislike, what worked for you and your dog and what didn't!*Photo!Accepted file types: jpg, gif, png, pdf.Please upload a photo of your dog for our recordsVaccines Drop files here or Accepted file types: jpg, gif, png, pdf. Please upload a copy of your dogs vaccinations. If you don't have a copy, please email them to firstname.lastname@example.orgWaiver* I have read and agree to the Terms and Conditions laid out in the waiver Show Full Agreement Informed Consent and Release of Liability This form must be read in full, understood and agreed to by the owner or guardian of stated dog, and this from must be completed and sent to Cultured Canines ltd. before stated dog can participate in any Cultured Canines ltd. program. In consideration of the services of Cultured Canines ltd., their agents, owners, officers, shareholders, volunteers, participants, employees, affiliated companies and all other persons or entities acting in any capacity on their behalf, I hereby agree to release and discharge Cultured Canines ltd. on behalf of myself, my spouse, my children, my parents, my heirs, my property, assigns, third parties, personal representative and estate as follows: i. I acknowledge that my participation in dog training entails known and unknown risks that could result in physical or emotional injury, paralysis, permanent trauma, death, or damage to myself, my family, my dog(s), property, or to third parties. I understand that dog training will expose me and/or any member of my family, my dog(s), my property and/or third parties to above normal risks. These risks include, among other things, and are not limited to, the hazards of walking/running on variations in terrain; steepness of slopes; slips and falls; the forces of nature, including lightning, rain, snow, ice, sleet, bare spots and changing weather conditions; falling off a rock, mountain, or any obstacle; the risks of exposure to insect bites, animal bites, frostbite, hypothermia, sunburn; normal city hazards, including traffic; being on and off trails with trees, tree stumps, creek rocks, boulders, forest deadfall, holes and depressions; possibility of encountering wildlife both in and out of the city. ii. I agree that I am responsible for my own safety, as well as the safety of all family members, including my dog(s). I agree individually and on behalf of my family and dog(s) to assume and accept all the dangers that are associated with dog training. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. At any point, I may elect not to participate in any of the activities involved in dog training. iii. I will inform and disclose to Cultured Canines ltd. any physical or mental health issues, which might compromise my ability, or my dog(s), to participate in moderate physical activity. iv. In case of physical or emotional injury, paralysis, permanent trauma, death, or damage to myself, my family, my dog(s), property, or to third parties, I agree to cover 100% of all expenses, including both medical and veterinarian. v. I understand that I am solely responsible for any harm or damage caused by my dog(s) to any persons (including myself), property, animals and/or third party. vi. I agree to be responsible for all persons accompanying me to dog training classes, including, but not limited to, family, relatives, friends and acquaintances. I agree to keep my children safe and in control, well-mannered and respectful towards the class and all animals at all times. vii. I accept that disrupting, rude, disrespectful and/or slanderous behaviour from my family, dog(s), my acquaintances, third parties or myself will not be tolerated. Cultured Canines ltd. reserves the right to remove any person or persons from the class indefinitely without refund. viii. I acknowledge that it is my responsibility to provide the required training equipment, and incur 100% of the cost of a six foot leash. A properly fitted martingale collar and a hands free leash will be provided, and I understand that Cultured Canines ltd. has the right to refuse my participation in class without the proper equipment. Cultured Canines ltd. reserves the right to require a muzzle for my dog at my expense. ix. I accept that the only dog that is permitted to come to classes is the dog that was enrolled, and I may not substitute another dog in their place. x. I agree to ensure my dog(s) are in good health and are showing no signs of any illness. Female dogs in heat are not permitted to come to classes and I will inform my instructors if my dog is in heat so they can reschedule my lessons. xi. I understand that Cultured Canines ltd. reserves the right to cancel class at anytime, including but not limited to holidays, instructor illness, thunder-lightning storms and temperature below -12 with wind chill or weather above +28. In the case of a class which is cancelled, Cultured Canines ltd. will offer one make up class, it will be up to the participants to ensure they are able to attend this class. xii. I acknowledge that it is not mandatory to attend every available class during the period that I have signed up for, although it is highly recommended to do so in order to have the best possible chance of obtaining my desired outcome with my dog(s). Should I have to miss class(es), it is not required by Cultured Canines ltd. to allow for a make-up class and I will consider it time and information lost. xiii. I understand the dog training class is intended for informational purposes only and I am responsible for achieving my own desired outcome. I accept that handouts and suggested reading material provided by Cultured Canines ltd. are in addition to the training. Any information learned in class or any handouts are the property of Cultured Canines ltd. and may not be used by me for any monetary gain without the explicit permission of Cultured Canines ltd. xiv. Cultured Canines ltd. can offer advice and suggestions on training, healthcare and the well being of my dog(s), but should never take place over that of my veterinarian. xv. I understand that participants for Cultured Canines ltd. dog training classes are registered on a first come, first served basis. In order to secure my place in the program, the deposit must be paid for in full at the time of registration. Cultured Canines ltd. cannot hold my place without payment. If payment is not received by registration date and other arrangements have not been made, Cultured Canines ltd. reserves the right to consider my registration cancelled. xvi. I acknowledge that classes are non-refundable and I will forfeit all payments made to Cultured Canines ltd. should I cancel my enrollment for any reason or choose not to show up to classes during my assigned time period, or be asked to leave due to disrupting, unsafe, rude, disrespectful and/or slanderous behaviour from my family, dog(s), my acquaintances, third parties or myself. xvii. I accept that Cultured Canines ltd. is not responsible for any expenses I might incur, such as vehicle gas and/or tickets or fines as a result of ignoring Calgary Bylaws. xviii. I give Cultured Canines ltd. Permission to use any photos taken of my dog and myself during class for marketing purposes. I also agree to allow Cultured Canines ltd. to publish any testimonials in either print or electronic form. I, the undersigned, have carefully read, understood, and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon myself, my heirs, assigns, personal representative, estate and for all members of my family, including any minors accompanying me. I understand that this is a RELEASE OF LIABILITY, which will legally PREVENT me or any other person from filing suit or making any other legal claim for damages in the event of my death, my dog(s) death or any injury to me or my dog(s). I agree to assume any and all risks of injury or death to myself, family and dog(s) which might be associated with or result from my participation in this event. I further agree to RELEASE FROM LIABILITY and to INDEMNIFY AND HOLD HARMLESS Cultured Canines ltd., their agents, owners, officers, shareholders, volunteers, participants, employees, affiliated companies and all other persons or entities acting in any capacity on their behalf, for any damage, injury or death to myself, my dog(s), or to any person or property, whether caused by their negligence or for any other reason, in any way connected with my participation in this activity.Signature*Discount Code For the discount code to work, please select the course first! If you have taken one of our courses or have paid a deposit previously, send a text message to your instructor for the discount code at 403-689-1075. Payment for C.O.O.L. Course Price: CAD$ 761.25 CAD Please note that the course fee is non-refundable, but it is transferable to other training programs within Cultured Canines and can be transferred to a friend. We have a strict no refunds policy on course deposits and no exceptions are made. Payment Method*Credit CardPayPalCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Total CAD$ 0.00 CAD Cash InstructionsCash is currently not being accepted due to COVID-19Response TimeEvery customer is extremely important to us. Please allow 5-7 business days for a response to your registration. If you do not hear from us, please email us directly at email@example.com as sometimes things get filtered into the wrong folders unintentionally. PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.