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Name
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Email
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Phone 000-000-0000
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By submitting this application, I understand that I am not guaranteed a membership. I will be notified if my application has been accepted, and will then be required to book a first visit session before an invitation to membership may be granted
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-- Select One --
I agree
Address
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-- Province --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
-- State --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- State --
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
-- Country --
Australia
Canada
United Kingdom
USA
Emergency Contact Name (NOT yourself):
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Emergency Contact Phone 000-000-0000
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Are you familiar with, or are you a client of Wet Noses? Click all that apply
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Boarding
Training
Raw food/delivery
Grooming
Private off leash park/agility/obedience rentals
Dog shows/trials/seminars
How did you hear about us? Do we have someone to thank for spreading the word?
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What benefits are you hoping your dog(s) receive from swimming? Choose all that apply
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Fun
Exercise
Increased Mobility
Therapy
Safe experience
Strength
Training for Dock Diving
Confidence
Do you wish to swim with your dog? If so, are you a confident swimmer?
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What is/are your dog(s) name(s)?
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Breed(s)?
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Ages
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Are there any mobility concerns? Please tell us about them.
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Are there any behavioural issues we should know about? If yes, please tell us about them (this does not preclude your dog from using the pool, this is simply information to ensure everyone's safety)
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Has/have your dog(s) had any experience with swimming?
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No swimming experience and might not be super into it.
No swimming experience but seems to be excited about water.
Will wade in water voluntarily but hasn't tried swimming yet.
Obsessed with swimming.
Experienced at jumping off a dock.
What is your main availability for pool use?
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Weekdays
Weekends
Mornings (8 am to 12 pm)
Afternoons (12 pm to 5 pm)
Evenings (6 pm to 9 pm)
How often would you ideally like to treat your dog to the pool?
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-- Select One --
Once a month
Twice a month
Once a week
2-3 times a week
Do you have any questions for us or have any further information about you or your dogs you would like to provide us?
We require a one time 15 minute orientation for you and your dog. This will cost $55 and includes an additional 30 minute swim. Please indicate at least 3 dates and times that you are available.
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