Client Information and Waiver Name * First Name Last Name Email * Phone (###) ### #### How can we help? Remote consultation Behavior | Obedience Sport Nosework | Scentwork SAR | Detection Your Dog's info: Name, breed, sex, age, how long you've had your dog? Dog's Health Certification by owner By checking this box, I certify that my dog is healthy (not showing signs of illness (coughing/diarrhia/runny nose, etc.) and is current re DHLPP and Rabies. I certify my dog is healthy and vaccinated How did you hear about us? Referral Veterinarian Referral Social Media Podcast Blog Internet search | Reviews Training goals | Issues * Please let Sonja know your training goals and/or behavioral issues. Also advise if your dog has a bite history, aggression toward dogs or human, reactivity toward dogs or humans, and/or other pertinent information. TERMS OF SERVICE and PAYMENT * Terms of cancellation. Sonja's Dog Training has a 24-hour cancellation policy. If you need to cancel or reschedule, please let us know at least 24 hours in advance to avoid forfeiting the full cost of your cancelled session. By checking the box and signing below you are stating that you understand that you will be responsible for full payment of a training session for failure to cancel or reschedule my appointment at least 24 hours prior to your scheduled appointment. Terms of Payment. Full payment is either made at the time of service. Payment can be made by Venmo @sonjasdogtraining, check, or cash. Please make checks payable to Sonja's Dog Training. Rates are $150 for 1:1 in-person sessions $150 remote video app $125 telephone consultation I agree to the Terms of Service and Payment Full name and date * Accident Waiver, Release, Assumption of Risk * I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I and my dog may participate, and that it will govern my actions and responsibilities at said activity. I hereby assume all of the risks (to myself and my dog) of participating in any/all activities associated with SONJA'S DOG TRAINING, LLC, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. In consideration of my application and permitting me and/or my dog to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me or my dog including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Sonja Nordstrom, Sonja's Dog Training LLC, Heimdallr Ranch Trust, and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. I acknowledge that they are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. ASSUMPTION OF RISK, CONSENT TO MEDICAL CARE, AGE OF PARTICIPANT: Participant fully and voluntarily assumes all risks to themselves and/or their dog in connection with the Training, the use of the Training, or any Emergency. Participant hereby consents to any medical, hospital or surgical diagnosis, treatment or care that may be necessary as a result of his or her participation in the Training, and Participant agrees to accept sole responsibility for all applicable fees, expenses or charges for any such diagnosis or treatment, including any evacuation and/or rescue costs. Participant certifies that he or she is 18 years of age or older. I agree to the above terms Warranty, Agree not to Sue, Severability * NO REPRESENTATIONS AND WARRANTIES: Participant acknowledges and agrees that Sonja's Dog Training has not made and is not making, any representations, statements, inducements, warranties, or guaranties other than those contained in this Voluntary Release of Liability and Notice of Assumption of Risk, with respect to the Training provided to Participant, and Participant hereby waives all remedies, warranties, guaranties or liabilities, express or implied, with respect to the Training provided to Participant, arising by law or otherwise. RELEASE, DISCHARGE AND COVENANT NOT TO SUE: Participant, on behalf of himself or herself and his or her heirs, executors, administrators or assigns, hereby releases Sonja's Dog Training, its officers, agents, employees, volunteers, and any other owner or provider of facilities at which or with which such Training is conducted (collectively “Releasees”) from any and all claims and liability arising out of the acts or omissions, including without limitation the ordinary negligence of Releasees which causes any injury, death, permanent disability, economic damages or property damage to Participant wherever or however the same may occur and Participant hereby covenants not to sue Releasees on any such claim. Participant hereby covenants to hold Releasees harmless and indemnify Releasees for any claim, judgment or expense arising out of any emergency involving Participant. SEVERABILITY; GOVERNING LAW: If one or more of the provisions of this Voluntary Release of Liability and Notice of Assumption of Risk is hereafter declared invalid or unenforceable, the parties hereto agree that the invalidity or unenforceability of any of the provisions shall not in any way affect the validity or enforceability of any other provisions of this document. This Voluntary Release of Liability and Notice of Assumption of Risk shall be construed in accordance with the laws of Utah. I agree to the above terms Photo release * PHOTO/VIDEO RELEASE: I understand while participating, I and/or my dog may be photographed. I grant Sonja's Dog Training unlimited use of photography or videography taken during the course of the Training to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. I understand that there shall be no payment, royalty, fee, or other compensation to me by reason of such use. I understand that with my authorization below the photograph(s) may never be revoked. I agree I disagree to the Photo release I agree to and understand the above terms and conditions * I agree to all of the above terms SIGNATURE | DATE * Thank you!