K9 Nose Work®

Pre-class Questionnaire

Please take a moment to answer the following questions about you and your dog.

If you have more than one dog, please fill out a questionnaire for each dog, though you may skip the questions that have duplicate information about your background and interests.

All fields marked with a red asterisk ” * ” are required and must be completed in order for the form to be submitted. If you do not see a “Thank You” message, please completed the remaining required fields.

New to Nose Work *

Handler/Handlers Name/s *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Your Cellphone *

Your Email *

Person to Contact in Case of Emergency *

Emergency Contact Cellphone *

Dog’s Name *

Dog’s Breed *

Dog's Age *

Are your dog’s vaccines current? *

Do you have any health concerns for you or your dog, any dog allergies?

Name of the Veterinarian

Veterinarian Facility

Are you a trainer?

Please rate your dog's typical daily activity level?

Has your dog ever bitten or damaged another dog or human? *

Any specific fears or phobias your dog may have? Examples: Strangers, Other dogs, Noise, Environments, etc.

How did you hear about us or who referred you? *

What attracted you to this class?

What are your expectations of this class?

Disclaimer *

I have read this agreement and agree to the terms and conditions. (Scroll to read entire agreement)

Bringing my dog(s) into contact with other dogs and people poses certain risks, including the risk of contracting disease or injury. On behalf of myself, any member of my household, and/or my dog(s), I assume all risks associated with participating in any activities with K9 Nose Sports.
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K9 Nose Sports staff and trainers may take photographs and videos of me, my dog(s), and anyone accompanying me during classes and/or events and may use the images for all purposes, including promotional materials, social media and websites without compensation for further notice.
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K9 Nose Sports and/or its respective employees and/or agents are not responsible for any damages and/or injuries that may arise from participating in activities with K9 Nose Sports, either onsite or offsite, including, but not limited to, damages arising from personal injury to myself or my dog(s), medical bills, veterinary bills, loss of personal property, emotional distress, or any other damages that I, my dog(s), member of my household or guest that I invite may suffer

I will take complete responsibility for my dog’s(s’) actions.

I am over 18 years of age and am the legal owner of the dog(s) listed above.

Captcha *

ABOUT US

Thanks for visiting K9NoseSports.com This site will be mostly about the sport referred to as “Nose Work.”

CONTACT US

Your official source for Dog Nose Work
Email us at roger@K9NoseSports.com

LOCATION

Sioux Falls, South Dakota