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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 linkLink to your recent dog posting:Go to the post, click .... in top right, copy linkCurrent DogsDetails: 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 5MbDog Training Waiver of ClaimsBy 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*DonationsThe 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. Talk to other Chessie owners about their experiences... You can show your commitment to your dog by making a donation to Chesapeake Safe Harbor. What dollar value would you place on having your dog's issues solved?! Please consider making a donation between $25 and $1,000 ; )Donation Amount