Noahs Crossing Hydro Waiver Form Required waiver form for Dayschool & Board & Train dogs attending Hydrotherapy with Canine Connect. Owner InformationDate* MM slash DD slash YYYY Date of Hydro Excursion you are requesting? Excursions operate Mondays and small availability Wednesdays. Do not operate Public Holidays.Owner Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Dog InformationPet Name* Name Breed* SexMaleFemaleDog Medical History Yes No Has your pet ever had any conditions such as, orthopaedic surgery, Arthritis, Heart Conditions, or any medical conditionIf "Yes", Please list & provide detailsCurrent Veterinary Clinic* What clinic does your dog regularly visit or last seen?AgreementDiscussion of Risk* I understand Physical exercise together with the pressure of the water on the chest and abdomen can put more stress on your dog's cardio respiratory functions. If there is an undiagnosed cardiac or respiratory condition your dog could be at risk. Whilst all due care will be taken, if your dog has a diagnosed or undiagnosed spinal condition, there is a possibility their condition could be worsened by hydrotherapy. Discussion of Risk* I understand & agree I hereby give permission for my dogs to be a part of Canine Connects hydro swim session at Noahs Crossing Hydrotherapy Centre. I have given all medical and behavioural history to the staff at canine connect and listed here on this form and believe the information given to be correct and true. I give permission for Noahs Crossing Hydrotherapy Centre to exchange information with my veterinary practice about my dog's condition and/or behaviour if required. SignatureI 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.