New client information

Name *

First Name

Last Name

Phone *

(###)

###

####

Which is the best way to contact you? *

Email

Phone (call or text)

Phone (text only)

Your pet is *

Intact male

Intact female

Neutered male

Spayed female

Which services are you interested in? *

Canine fitness & conditioning (in-person)

Canine fitness & conditioning (virtual)

Bodywork

I certify that I am 18 years of age or older *

I am at least 18 years old.

I understand that Siny Tsang is not a veterinarian; she does not diagnose and/or treat injuries, illnesses, or diseases. Dogs with suspected underlying injuries will be recommended to seek medical care from their veterinarians and/or other qualified professionals. I certify that I will indemnify and hold harmless Core Pawtential, LLC and all persons connected therewithin any capacity whatsoever from any and all liability, cost and/or expenses for any injury and/or damange to persons or property caused by any dog brought by me to any training class, or other event helped or sponsored by Core Pawtential, LLC. I release Core Pawtential, LLC and all persons connected therewithin any capacity whatsoever from any and all liability for any injury or damage to me, my dog(s), family members, guests, and/or property as a result of any action by any person or dog, including my own. I assume the risk of such injury or damage. *

I have read and understand the above information.