Tell Me Your Story!
Are you ready to step into the transformational journey of changing you and your dog's life? Tell me your story here, and then let's meet for a consultation to discuss how you and your dog fit into the Adventure Hounds Programs!

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Name *
Email *
Full Address *
Phone Number *
Which Healing Hounds™ program are you interested in? *
Required
Your Dog's Name *
Your Dog's Breed *
Your Dog's Date of Birth (or approx. date of birth) *
How much does your dog weigh? *
Your Dog is... *
Is your dog spayed/neutered?  *
How long have you owned your dog?
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How many other dogs live with your dog? Has your dog shown any aggression toward them?
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Has your dog ever shown any aggression toward any person either within your home or in public? (if yes, please explain)
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Has your dog ever bitten a person or another dog? (if yes, please explain)
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Is your dog fully housebroken?
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What kind of food does your dog eat? Does he/she have any allergies? *
Are you currently using a crate for your dog? When is he/she in the crate? How does he/she behave in the crate? Has he/she ever broken out of the crate?
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Has your dog ever attempted or successfully jumped/escaped a fenced in area?
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Has your dog ever run away? If yes, what were the circumstances leading up to it?
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Has your dog had any formal training up to this point?
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During this program, all dogs are conditioned to an e-collar. Do you or anyone in your household have any hesitations or concerns about using an e-collar on your dog?
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What behavioral issues are you currently dealing with?
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Are these issues new or always present?
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What is your biggest concern about your dog's behavior?
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How does your dog behave when someone enters your house? Fearful, aggressive, excited?
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Does your dog bark or growl or lunge at dogs or people while on a leash?
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How does your dog behave around his/her food/toys/resources? Does he/she guard them by growling or snapping if someone attempts to take them away?
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Describe a typical day for your dog.
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What are the main things you wish to accomplish from the Healing Hounds Training Intensive Program?
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Is everyone who lives in your household on board with sending the dog through this training program? Are all members willing to implement and uphold the training once the dog is back home? *
Is your dog on Flea medication? Or can you guarantee your dog will not have fleas before drop-off day? (I recommend giving Advantus 24 hrs prior to drop-off). *
Veterinarian's Name + Location *
Emergency Contact Name (in case you are unavailable in an emergency) and Phone Number: *
Does your dog have any medical history or current medications I should know about?
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Is your dog up to date on Rabies, Distemper and Bordetella (Kennel Cough) vaccines?
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Please check all the following behaviors your dog exhibits: *
Required
How did you hear about Adventure Hounds North Carolina? *
Terms and Conditions. Please make sure you actually read through these.
I acknowledge that Adventure Hounds North Carolina (Samantha Ewashko) will endeavor to create an environment that is as safe as possible for the training and care of my dog and will offer safe and responsible training instructions. However, I recognize and acknowledge that Adventure Hounds North Carolina (Samantha Ewashko) is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommended use of any product or service is not a guarantee of my satisfaction with that product or service. Further, I agree that I am and will remain responsible for the actions of my dog at all times. I agree to hold harmless Adventure Hounds North Carolina (Samantha Ewashko) of any claims of injury, expense, damages or costs associated with or caused by the actions of my dog while under instruction from Adventure Hounds North Carolina (Samantha Ewashko), or under my own care as a result of following training instructions from Adventure Hounds North Carolina (Samantha Ewashko). I understand the inherent risks of owning a dog and I agree to take full responsibility for the actions of my dog at all times.

I understand that part of Adventure Hounds North Carolina (Samantha Ewashko)’s Healing Hounds Training Intensive program may include transporting my dog to public locations to further practice training skills. I am aware of the potential risks of transportation that include but are not limited to, loss, injury or death due to accident. I agree to assume all risks and costs associated with transportation of my dog throughout the entire Healing Hounds Training Intensive program.

I certify that my dog is in good health and has not been ill with any communicable diseases within the past 60 days. I certify that my dog has not been exposed to, or shown symptoms of, Rabies, Distemper, Hepatitis, Leptospirosis, Parainfluenza, Parvovirus, Bordetella (Kennel Cough) Papilloma or Conjunctivitis within a 60-day period prior to drop off.

I acknowledge that my dog will be trained or groomed, or otherwise handled or cared for by Adventure Hounds North Carolina (Samantha Ewashko) without liability on the part of Adventure Hounds North Carolina (Samantha Ewashko)’s representatives for loss or damage from disease, running away, theft, fire, injury to persons, other pets, or property by said pet, or other unavoidable causes, care having been duly exercised.

If my dog is found to have fleas when present while boarding, it will be bathed at my expense. I agree to pay the $50 fee on or before the date of pick up.

I understand, agree and authorize, at my expense, that if in Adventure Hounds North Carolina (Samantha Ewashko)’s opinion my dog is in need of medical attention, that medical or emergency services will be sought. In the case of an emergency, if my dog needs immediate medical care, and my veterinarian office is closed, does not answer the phone, is otherwise unavailable, and/or is more than 15 minutes away, I authorize Adventure Hounds North Carolina (Samantha Ewashko) to transport my dog to North Star Veterinary Hospital located at 532 Canady Rd, Parkton, NC 28371. I understand that I am responsible for any and all costs associated with the emergency visit and agree to promptly provide payment information directly to North Star Veterinary Hospital.

I understand that my dog will be taught using balanced training methods which includes but is not limited to the use of positive reinforcement, negative reinforcement, positive punishment and negative punishment. I further agree to the use of training tools for my dog that includes but is not limited to, food, leash, slip lead, flat collar, prong collar, electronic collar, and/or muzzle.

I understand that although my dogs will learn multiple behaviors, routines, patterns, basic obedience and/or management while in the care of Adventure Hounds North Carolina (Samantha Ewashko), it is my responsibility to maintain those skills and continue with training upon the dog’s completion of the Healing Hounds Training Intensive program. I further acknowledge that I will implement the suggestions given by Adventure Hounds North Carolina (Samantha Ewashko) on how to maintain and continue the dog’s progress. However, if the dog regresses, I acknowledge that I am solely responsible for not maintaining and furthering the training once the dog is back in my care.

(For intact, female dogs only) I understand that if my dog enters her heat cycle within 30 days of the scheduled drop off day, I will need to reschedule her training, my deposit will not be refunded, and I will be required to submit an additional deposit to hold the next available dates. I also understand that if my dog enters her heat cycle during the Healing Hounds Training Intensive process with Adventure Hounds North Carolina (Samantha Ewashko), I will be required to pick up my dog within 24 hours of being contacted, and the remainder of the training program will need to be rescheduled. There will be a rescheduling fee of $500 due to complete the training at a later date.

I understand that animal behavior is never fixed or static. I acknowledge that any animal has the ability to change its behavior depending on circumstances or environment. Further, I understand that behaviors can change, fade and/or be extinguished over time without consistent repetition and practice. A dog’s behavior is never “cured” and has the ability to change or regress at any time. I understand that my dog’s behavior is my responsibility.

I understand that Adventure Hounds North Carolina (Samantha Ewashko)’s Healing Hounds Training Intensive program does not guarantee that my dog can be trained, will never bite, or that my dog will not become aggressive, reactive, dangerous or vicious in the future. I also understand that the program does not guarantee that my dog’s modification of behavior will last for any length of time. I acknowledge that every dog is different in regards to temperament, breeding, and/or ability and no behavior modifications are ever guaranteed.

I understand that a non-refundable deposit of $1000 is due to secure dates for training. If I need to reschedule training due to any reason, or I am not able to attend drop off personally on the day agreed upon by both parties at the time of booking, I will forfeit my spot and need to submit an additional deposit for a later training date. The remainder of the amount due will be provided no later than drop off day. All payment must be made in full prior to the start of the Healing Hounds Training Intensive program. Acceptable forms of payment are: cash, check, or Venmo. Check must be made out to “Samantha Ewashko”. An additional fee of $50 will be added for each bounced check.

I understand that there will be an additional charge of $75.00 per day if I neglect to pick up my dog on the agreed upon pick up date. I also understand that if it is determined by Adventure Hounds North Carolina (Samantha Ewashko) that my dog requires a longer training program than originally discussed, I will be contacted to discuss the reasons for this, and I understand that I am responsible for, and agree to pay $700 per week for additional training.

I authorize Adventure Hounds North Carolina (Samantha Ewashko) to use, publish or reproduce any photos, audio, video recordings or other media of myself, and/or my dog(s).

I understand that all adult members of the household, or those who will frequently care for the dog, must attend the midway and go home sessions. These sessions will be held partially outdoors, rain or shine, unless Adventure Hounds North Carolina (Samantha Ewashko) deems the weather to be too extreme or unsafe. If this is the case, the session will be rescheduled to the following day and an additional charge will not be incurred if the go home session needs to be postponed.

I certify and agree that all the information above is true, complete, accurate and applies to all future training with Adventure Hounds North Carolina (Samantha Ewashko).
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