Questionnaire and Consent Form If you are human, leave this field blank.Questionnaire and Consent FormK9 Adventure Program Participants The following questionnaire and consent form must be completed for all of The Healthy Bone’s K9 Adventure Hiking program participants. Client Name *Please provide your first and last name.Program Participant *Please provide the name of the program participant/guest of The Den for which this form is being submitted:Transportation *I understand that The Healthy Bone/The Den will be providing transportation for my dog(s) to and from the agreed upon location(s). I understand that should I request a *last minute change to the agreed upon pickup/dropoff location, The Healthy Bone may not be able to accommodate my request and my dog(s) may not be able to participate in that day's scheduled hikes/events. *Please try to provide at least 24 hours notice when requesting a change of pickup or dropoff location, so we are able to do all we can to accommodate your request.I understand and agree.Pickup/Dropoff Times *While The Healthy Bone works to be consistent in regards to both pickup and dropoff times for all clients we serve, unforeseen circumstances, such as unusually heavy traffic, may impact pickup and/or dropoff times. For this reason, we are unable to guarantee specific pickup and/or dropoff times. Please indicate your understanding of this policy.I understand and agree to this policySocialization History *In the space provided, please tell us a bit about your dog's socialization history and how your dog interacts with other dogs in an off-leash setting. Please be sure to note any alerts, such as issues when first meeting other dogs, etc...Off-Leash History *Yes, oftenYes, occasionally Yes, though infrequentlyYes, a few timesNo, my dog has never hiked off-leashHas your dog ever hiked off-leash?Off-leash with The Healthy Bone/The Den *After The Healthy Bone has worked with your dog and determined they are ready for off-leash hiking, do you consent to your dog being off-leash in a pack setting (meaning that your dog(s) will be comingling with other off-leash dogs)?Yes, I understand and give my consentNo, I do not consentSocialization and Comingling *Do you consent to your dog socializing in a pack/group setting (meaning that your dog(s) will be comingling with other dogs)?Yes, I give my consent. No, I do not want my dog comingling with other dogs. Please contact me.Inclement Weather/Unforeseen Emergency Policy *Due to extreme inclement weather or unforeseen emergencies, we may have to either cancel or reschedule a K9 Adventure Hike. Please indicate your understanding of this policy by checking the box below.I understand and agree to this policyWaiver *I acknowledge that I have read through The Healthy Bone's K9 Adventure Hiking Agreement, that the terms of the Agreement are clear to me and there are no other understandings or agreements other than those set forth within the Agreement. I voluntarily consent to all of the Agreement’s terms and provisions.I have read and agree to all provisions of the aforementioned Agreement. Electronic SignatureReset SignatureBy typing my name into the box above, I am attesting to the fact that all information provided above is true and accurate to the best of my knowledge. I am also confirming my consent to and agreement with all terms set forth above and within The Healthy Bone's K9 Adventure Hiking Program Waiver. I understand that my electronic signature is equal to my handwritten signature.Today's Date *Please select today's date.Submit