Owner informationOwner / Handler name(s)* Occupation(s)* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Phone Instagram Account Name We often use Instagram to keep you updated. If you have an account and would like us to tag you please provide us with your Instagram account.Dog informationDog name SexMaleFemaleAge DesexedYesNoNot yetMicrochippedYesNoBreed Current Vet Clinic Previous training None Self trained Puppy school Obedience club Does your dog have any medical issues? Current veterinary clinic Class informationWhat length of stay are you seeking?*5 Days (Mon – Fri)10 Days (2 weeks)20 Days (4 weeks)OtherBoard & Train days are Monday to Friday with the weekends considered “rest days”Starting date? Location Hedgegrove (North) Windamere (South) Who do we contact in case of emergency?* Contact number* Do you give pemisson for your dog to be transported off site for training or medical purposes? Yes No Please understand that although the Canine Connect trainers will do everything in their power to keep your dog safe sometimes public areas can present unforeseen risks and hazards out of our control.How did you hear about Canine Connect?* AgreementI take full responsibility and understand Board & Train will not "fix" or be a 'magic wand' that will rectify my dogs behaviour* Yes I understand that my own efforts, training and commitment to my dogs training and behaviour is required post stay and ‘Board & Train’ is not recommended as a solo service if seeking behavioural modification.* Yes I understand my dogs past training, development, genetics, health and other contributing factors will be taken into consideration when deciding what and how to train my dog during its stay and the trainers will assess and decide on what areas and methods will be used with the goal of the best possible outcome for them, myself and our environment in mind.* Yes Signature*I understand that I am fully responsible for both my own and dogs behaviour and safety during all classes and activities with Canine Connect. All handlers under the age of 15 are to be accompanied by an adult. I agree there shall be no liability or responsibility in the event my dog dies, is injured, or contracts a disease or illness during any services held with Canine Connect and their affiliates provided reasonable care is provided and I agree to pay all fees and charges incurred with such services. Unless otherwise authorised no refunds will be given and late cancellations or ‘no shows’ may incur a fee. Any digital photography or film may be used for the purpose of advertising by Canine Connect across all medias. If in the opinion of Canine Connect or affiliates that your dog required medical attention or assessment I agree and authorise the proprietors to obtain necessary services on my behalf and I agree to pay all fees in connection with such services. I agree that there shall not be any liability or responsibility imposed on the proprietors in any manner whatsoever in the event of my dog dying or being injured. I understand extensive procedures are put in place to protect my dog from injury or illness and will not hold Canine Connect responsible in the event injury or illness occurs. I understand that Canine Connect only employs qualified and recognised canine trainers and that whatever training aids the choose to use with my dog during their stay is in the best interest of my dog, myself and any decision on training tools is from a qualified and educated perspective. I also understand the tools used in training may not necessarily be the tools recommended for me to use post stay. I agree to pay any charges that may incur during the period of training within the period provided or extra charges may occur.CAPTCHA
