First Temperament Assessment

Première évaluation du tempérament

Veuillez ne pas remplir le formulaire ci-dessous sans lire les deux paragraphes suivants.

Si vous avez lu attentivement la page du programme Certifiez Votre Propre Chien et que vous estimez que ce programme est le bon pour vous et que votre chien respecte nos directives, veuillez remplir le formulaire ci-dessous et effectuer le paiement pour vous inscrire à l’évaluation du tempérament de TLC Companion Paws. Nous ferons de notre mieux pour vous jumeler avec un évaluateur dans votre région pour planifier la première évaluation du tempérament. Les emplacements de la date d’évaluation finale sont fixés. Si vous habitez très loin d’un lieu d’évaluation finale, veuillez nous le faire savoir pour voir les options disponibles.

Une fois que vous aurez soumis le formulaire d’évaluation du premier tempérament ci-dessous, vous serez dirigé vers la page de paiement pour compléter votre demande. Le paiement est de 55$ et peut être effectué par carte de crédit, virement électronique et Paypal. Les détails du virement électronique se trouvent sur la page de paiement où vous serez redirigé après avoir cliqué sur Soumettre. Si un évaluateur local n’est pas disponible dans votre région et que vous ne pouvez pas vous rendre à votre évaluateur le plus proche, nous vous rembourserons à 100%. Nous ne pouvons pas terminer votre inscription pour planifier votre évaluation de tempérament si l’âge minimum de 1,5 an n’est pas respecté ou si le paiement n’a pas été effectué.

Please check the box to confirm you are requesting a First Temperament Assessment *

Confirming Request for a First Temperament Assessment

First Name *

Last Name *

Age of Handler *

Gender *

Female

Male

Non-Binary

Other

Pronoun Preference *

She/Her

Him/His

Them/They

Street Address *

City *

Province *

Postal Code *

Phone *

Email *

Pet Name: *

Pet Breed *

Pet Age: *

Pet Date of Birth

Type of Therapy Dog (Please Check All That Apply)

Assisted Therapy Dog (For Teachers, Educators, Therapists and Doctors who use their own Therapy dog for their students, clients or patients)

Visiting Therapy Dog (For Individuals with their own dog for visiting facilities, schools, care centres etc...)

Personal Therapy Dog (For Individuals with their own dog who would benefit from a Therapy Dog and is working with a current mental health professional)

Please check what type of Therapy Dog Designation(s) you are registering for. - Personal Therapy Dog (For Individuals with their own dog who would benefit from a Therapy Dog and is working with a current mental health professional) - Assisted Therapy Dog (For Teachers, Educators, Therapists and Doctors who use their own Therapy dog for their students, clients or patients) - Visiting Therapy Dog (For Individuals with their own dog for visiting facilities, schools, care centres etc...)

Therapy Dog Meaning *

I understand what a Therapy Dog is. Companion Paws Canada pets are not Service Dogs or Guide Dogs. CPC pets are designated Therapy Animals.

Therapy Dogs are trained and tested in therapy companion obedience. Interaction with a Therapy Pet provides therapeutic, motivational, educational and recreational benefits to enhance quality of life. Therapy pets DO NOT share the public access rights granted to service pets and may be denied admittance to public places. Companion Paws Canada pets do not have special privileges beyond those granted to any other pet in public places, on public transportation or in private buildings such as apartment blocks where the keeping of pets is restricted or prohibited.

Aggression *

By clicking this checkbox, you confirm that your dog has never been agressive towards people or other animals and has never bitten a person or other animal.

Waiver *

I understand that attendance at therapy dog activities is not without risk.

I understand that attendance at therapy dog activities is not without risk to me, my family members, or guests who may attend, or to my dog, and that neither The LifeLine Canada Foundation or Companion Paws nor the owner/proprietor of any facility hosting events nor volunteers, trainers or adjudicators, assumes legal liability for my actions or the actions of my dog, other dogs, my family members or my guests in their participation in Companion Paws activities. I indemnify, agree to defend and hold harmless The LifeLine Canada Foundation and Companion Paws, the owner/proprietor of each facility hosting a Companion Paws event, volunteers, trainers and adjudicators and anyone acting on their behalf, from and against all claims losses liabilities, and damage to persons or property, governmental charges or fine omissions, including but not limited to participation in Companion Paws functions, training. assessments and evaluations.

Acknowledgement *

I understand that once I click submit, I will need to make the $55 payment and will be directed to the payment page. Please do not click submit unless you are ready to make the payment and complete your registration.

Clicking ‘Submit’ will direct you to our payment page to complete your registration. A PayPal account is not required. All major credit cards accepted.