Behavior_Helpline_-

Pet Information
Dog's name*
Age*
Gender*

Intact femaleIntact maleSpayed femaleNeutered male
Breed(s) or best guess*
Where did you get your dog?*
Do you know any history on your dog prior to adoption, if applicable? *
How long have you had your dog?*
How many hours of solid sleep/day do you think your dog gets (day & night)?
Describe your dog's exercise routine (activity, distance/duration, frequency, locations, etc.)
Describe what you are interesting in learning in this workshop*
Describe your dog's behavior that you'd like to work on. Please be as detailed as possible (where it happens, how often, specific details, etc.)*
Were there any environmental or lifestyle changes that occurred around the time your dog's behavior changed? If so, please describe. (ex. moved, had baby, different roommates, job schedule change, etc.)
What changes (if any) have you made due to your dog's behavior?
Are you joining the in-person workshop or virtual workshop?

In-personVirtual
ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY

PLEASE READ AND SIGN BELOW

I fully understand and agree to assume all risks involved in any activities that I take part in at Aska's Animals Foundation (AAF) and I agree to hold the AAF harmless for any injury(s), which I might sustain during the course of my interactions with the AAF.

This waiver does include myself, all of my family members and descendents forever from seeking any legal action whatsoever against the AAF or its representatives.
Signature

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