*
Main Logo Home Contact Courteous Canine Directions
What We Do

Who We Are

More Info

Subscribe to
CourteousCanine.com
Email List

Subscribe Now
Subscribe to
CourteousCanine.com
Twitter

Subscribe Now
Group For
Tampa Bay Clicker
Trainers

Clicker Trainers

Courteous Canine, Inc. Behavior Modification Intake

Please fill out this form prior to our first appointment. Additional specific questions about the problem behavior(s) will be asked during your consultation. If multiple dogs are involved, you may either print additional forms or if there is enough space, simply write their information in the same area with a designation as to which dog it pertains to. If there are any questions please contact info@courteouscanine.com. Thank you!

Yes No
Male Female
Spayed Neutered Intact
(including bordatella)
Yes No
Yes No
Yes No
Yes No
On Leash Off Leash Both
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No Both
Yes No
Yes No Both
Yes No

How does the dog respond to:

Liability Release

Owner (owner of dog, client of Courteous Canine, Inc., and handler of dog) agrees that Angelica Steinker and Courteous Canine, Inc. will not be liable for any damage or loss resulting from failure of the dog to respond to any cues or commands taught to the dog by Courteous Canine, Inc. or resulting from counseling and advice supplied to owners of dog. Dog's behavior now and in the future is solely the responsibility of the owners (client) of the dog. Should any behavior on the dog's part now or in the future result in damage to the property, owners, or person of some third party, owner agrees to assume full responsibility to such third party for any and all such damage, and to absolve Angelica Steinker and Courteous Canine, Inc. from any and all obligations to pay such damage to a third party. All dogs are trained or otherwise handled or cared for or if owner receives instruction by Angelica Steinker and Courteous Canine, Inc. without any liability whatsoever on Angelica Steinker and Courteous Canine, Inc. for loss, damage from disease, death, running away, theft, fire, injury to persons, other dogs or property by said dog, or other unavoidable causes. In the event of in-home training provided by Angelica Steinker and Courteous Canine, Inc. whether owners are home or not, owners agree to absolve Angelica Steinker and Courteous Canine, Inc. from any and all liability whatsoever for loss or damage to property. In the event of training provided at the location of Courteous Canine, Inc., 2601 Spring Green Drive, Lutz, FL 33549, owner agrees to absolve Angelica Steinker and Courteous Canine, Inc. from any and all liability whatsoever for loss or damage to property, or injury to dog, or owner, or handler and to hold her harmless therefor.

Line

Courteous Canine, Inc. Dog School & Doggie Gym is located in Lutz, close to Tampa, New Tampa, South Tampa, Wesley Chapel, Land O'Lakes, Odessa, Carrollwood, Lake Magdalene, Northdale, Oldsmar, Palm Harbor, Trinity, Safety Harbor, and Temple Terrace!

Please read our privacy, security and refund policies.
All articles, text and images are © Copyright Courteous Canine, Inc. 1998 - 2010  Please do not copy, print or reproduce without written permission.