Please fill out the form below prior to your dog’s first day at Otter Tail Kennels. Vet records must be received prior to first day of training and flea and tick preventative is required. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary contact phone number:HomeWorkMobilePhone number *Secondary contact phone number: HomeWorkMobilePhone numberDog InformationAKC/UKC Registered name of dogAttach Pedigree here (optional but appreciated) Click or drag a file to this area to upload. Call name *Breed *Labrador RetrieverGolden RetrieverChesapeake Bay RetrieverColor (if Labrador)YellowBlackChocolateDate of Birth *Dog's sex? *MaleFemaleIs your dog spayed/neutered? *YesNoMedications (if any)Please include flea and tick medications and heartworm medications if applicable. What day of month do you give flea and tick and heartworm medications? *Veterinarian informationClinic Name *Doctor Name *LocationPhone *Upload vet records Click or drag files to this area to upload. You can upload up to 2 files. Upload any vet records you have here. Accepted file types include: jpg, jpeg, png, pdf, doc, docxPrevious training and exposureFormal obedience class? *YesNoPrevious professional retriever training? *YesNoAdvanced commands known?HOLDFETCH (dog is force fetched)BACKOVERCommands dog knows? *SITHERECOMESTAYDOWNAny training concerns or issues? *Dog has been exposed to the following: *BOATDECOYSBIRDSGUNSWATERCOVERNone of the aboveIssues or concerns on above exposures?E-collar has been used on dog? *YesNoE-collar brand and how usedBark collar has been used on dog? *YesNoBrand and how usedElectronic fence has been used on dog? *YesNoRepresentations and warrantiesClient represents and warrants that the following are true and accurate statements and Client will forever indemnify Otter Tail Kennels (its agents, Trainers (defined herein), employees, staff, members, owners, and the Location, all of whom shall be deemed to be part of the term “Otter Tail Kennels” used throughout this Agreement) and hold them harmless for any claims or damages resulting from any and all inaccuracies Client makes about the Dog:Check all that apply: *There are multiple owners (not including spouses) of this dogClient is fully authorized to enter into this Agreement and to contract for services regarding the DogDog has been vaccinated against rabies, DHLPPC, and bordetella and the vaccinations are current. (proof of vaccinations required)Dog is in good health.Dog is friendly toward children and adults.Dog is friendly toward other dogs and other animals.Dog has never bitten a person.Dog is not gun shy.Dog has not had heat exhaustion in the past.Dog has been tested for Exercise Induced Collapse (EIC)Is there any other information we should know about your dog?Terms and conditions of training agreement1. Payment: A down payment (first months training fees) is due prior to the start of training. The remaining training balance will be billed on a monthly basis thereafter with payment due within fifteen (15) days of the date of such billing or invoice. Any balance remaining will be due upon pick-up of Dog. No refunds will be given unless training is cancelled by Otter Tail Kennels. If any amounts due and payable by Client are not paid when due, Client shall reimburse to Otter Tail Kennels all actual costs of collection, including attorney fees and costs incurred in collecting amounts due and owing under this Agreement or for otherwise enforcing the terms of this Agreement.2. Indemnity and Hold Harmless: Client agrees to indemnify and hold Otter Tail Kennels harmless from all liability for any loss, damage, or injury to persons, animals or property arising from or related to Client, the Dog or other animal’s activities before, during or after training. Client agrees that Otter Tail Kennels shall not be liable for loss or damage to the Dog for any reason. Client understands that training is not without risk to Dog, Client, Client’s family members, invitees, or guests. The dangers may include, by way of example and not limitation: (a) animals that are difficult to control and that may bite, trip, knock down, collide, or fight; (b) the use of shot guns during the training and/or competition; (c) natural and man-made hazards (e.g., wildlife, equipment, slippery surfaces, trip hazards) that may exist on or at training and/or competition locations; (d) hazards associated with travel to and from training and/or competition locations; and (e) injury or death of the Dog.3. Client’s Assumption of Risk: The Client understands and assumes all risks associated with the training and housing of dogs. Such risks may include but are not limited to (a) travel to and from training locations and competition sites. (b) hazards during everyday training such as hidden hazards, fences, ditches, etc. (c) discharging of blank and live ammunition. (d) getting fleas, ticks, or worms. Contracting any illness or disease. (e) is lost or stolen. (f) dog fights. (g) injury or death during or after the terms of Agreement, on or off training location. The Client accepts the risks and agrees that Otter Tail Kennels shall not be held responsible. The Client agrees to accept all cost and expenses associated with above risks and any other as specified by Otter Tail Kennels.4. Termination: At Otter Tail Kennel’s sole discretion a contract may be terminated if (a) a dog is deemed dangerous or vicious to any individual or animal. (b) a Client breaches any terms or conditions of this Agreement. Upon termination Otter Tail Kennels’ duties shall terminate but all other provisions of this agreement shall continue in full force and effect. No refunds shall be given for prior training. Otter Tail Kennels reserves the right to refuse services to any Client at any time at Otter Tail Kennel’s discretion.5. Veterinary Care: The Client hereby authorizes Otter Tail Kennels to seek veterinary or other care of the Dog, in a manner and at a location to be selected by Otter Tail Kennels, in their sole and absolute discretion. Client shall be solely responsible for the cost of any such veterinary care or treatment incurred on-behalf of the Dog. Otter Tail Kennels shall not be liable to the Client for decisions it makes regarding obtaining or not obtaining veterinary care or treatment.6. Personal Guarantee: If the Client is an LLC, Corporation, LLP or other entity, then the individuals signing this Agreement hereby agree to, jointly and severally as applicable, personally guarantee the payment and collection of all fees and costs payable under this Agreement, on behalf of said entity.7. New Policies: Otter Tail Kennels reserves the right to adopt new and additional policies and procedures, from time to time, without the prior written permission of the Client. Pricing also subject to change with prior notification.8. No Warranty: The parties confirm that, except for that which is specifically written in this Agreement, no promises, representations or oral understandings have been made with regard to Dog or anything else. Without limiting the generality of the foregoing, Client acknowledges that Otter Tail Kennels has not represented, promised, guaranteed or warranted that Dog can be trained, that Dog will never bite, that Dog will not be dangerous or vicious in the future, that Dog will not exhibit other behavioral problems, or that the training will last for any particular amount of time.By signing below, client acknowledges that they have read, understood, and agreed to all terms and conditions set forth in this agreement.Type your full name here to signDateSubmit