Request assistance with a dog (& online waiver)

We work to help with behavioral issues and to find a suitable home for Chessies. Tell us what you have:

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Facebook:
Our preferred contact method is via Messenger. If you use Facebook please provide:
Link to your Facebook Profile:
In Facebook, click on your logo, then the .... for settings. Copy link
Link to your recent dog posting:
Go to the post, click .... in top right, copy link
Current Dogs
Details: Dog 1: Name | Age | M/F/Neutered/Spayed | Breed(s)*
Where did you get your dog from & how long ago?*
Describe your dog’s character*
What challenges are you facing and how long these have been going on?*
If we are able to provide assistance, what days of the week & times are usually suitable for a phone call*
Attach a photo of your dog (ideally with you)
Accepted file types: jpg, png, pdf.
Max file size 5Mb
Dog Training Waiver of Claims
By submitting this form and checking the box below you agree to all of the following terms.
I have requested or accepted an offer of dog training assistance from Chesapeake Safe Harbor & Pitbull Safe Harbor, Inc., a Massachusetts nonprofit corporation, Roger Booth and/or Gabriella Booth, both individuals residing in Massachusetts (all collectively the “Released Parties” and each a “Released Party”).
I understand that dogs vary in their temperaments, and that some dogs are easier to train and manage than others. I further understand that dogs that have suffered abuse or even just inconsistent or uneducated handling can be quite unpredictable. I agree that the effectiveness of training is not totally predictable and that even successful training will not last without consistent, informed handling.
I accept training assistance from the Released Parties, acknowledging that results of training can never be guaranteed, and that the actions of a dog cannot necessarily be controlled even with the best of training and handling.
I hereby waive any claims against the Released Parties and release them from any liability in connection with the training and handling of my dog(s) and in connection with any subsequent behavior of my dog(s). I agree that it is my responsibility to manage my dog(s) appropriately, and to seek additional assistance if I am not able to comfortably handle my dog’s behavior.
AGREE to all of the above terms*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right.
- YES I agree to all of the terms.
Signature*
Donations
The volunteers at Chesapeake Safe Harbor love Chessies and choose to donate their time to helping brown dogs. They have many years of experience but are not professional dog trainers.
You can show your commitment to your dog by making a donation to Chesapeake Safe Harbor. Your generosity will enable multiple Chessies to be helped. Please consider a donation between $25 and $1,000 : )
Donation Amount

Facebook:

Current Dogs

Dog Training Waiver of Claims

Donations