Registration – Reactive Working Sessions

Use the form below to sign up for our Reactive Dog Working Sessions

Personal Information

First Name (required)

Last Name (required)

Email Address (required)

Your Phone Number (required)

Address Information

Address

Address 2

City

State

Zip Code

Your Dog's Information

Your Dog's Name (required)

Dog's Gender (required)

Dog's Age (required)

Dog's Breed (required)

Spayed/Neutered? (required)

Dog Allergies? (required)

Has your dog ever bitten another dog or human? (required)

Is there anything else about your dog you would like us to know?

Veterinarian's Name (required)

Veterinarian's Phone (required)

Emergency Contact (required)

Emergency Contact Phone Number (required)

May we have permission to have photographs of your dog taken? (required)?

How did you find out about us? (required)

 

I acknowledge that: Insource Solutions, Inc., DBA “Unleashed Joy” will endeavor to create as safe an environment as possible for the training of my dog and will endeavor to offer only sound, safe, and responsible training and training instructions. However, I recognize that Unleashed Joy is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times. I hereby agree to abide by the rules and policies of Unleashed Joy training classes as set forth in this contract. I understand that attendance of dog training classes is not without risk to myself, members of my family, guests who may attend, or to my dog. In consideration of, and as inducement to the acceptance of my application for training membership in this training class, I hereby agree to indemnify and hold harmless Unleashed Joy, its officers, directors, instructors, agents, employees and/or representatives of any and all claims, or claims by any member of my family, or accompanying guests of mine of injury, expense, costs or damages to myself, my dog or any handler sponsored by me both in class and out of class. In addition, I agree that I will defend and indemnify Unleashed Joy for any injury, expense, costs or damages to any dog handlers or dogs, whether sponsored by me or not, or to third parties arising out of my own actions or the actions of my dog. By filling out this form and proceeding to payment options, I acknowledge that I have read the above-¬≠stated provisions, and agree to accept those responsibilities.