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Registration Form

Your Dog's Information:

Name Date of Birth
Predominant Breed(s)
Color(s)/Markings

Your Contact Information

Name(s)
Street Address
City State Zipcode
E-mail Address Type: HomeWork
Phone 1 Type: Home Work Cell    Phone 2 Type: Home Work Cell   
Phone 3 Type: Home Work Cell    Phone 4 Type: Home Work Cell   
Phone 5 Type: Home Work Cell   
Alternate Contact Name Alternate Contact Phone Your Regular Veterinarian/Clinic Veterinarian's Phone

About Your Dog

What was your dog's age when he/she came to live with you? Where did you get your dog? Why did you get this dog? Has this dog had any other owner(s)? Yes No   How many?
Is your dog usually left alone during the day? Yes No   Where is your dog usually kept during the day? How many times each day is your dog used to going outside/walking for elimination? Does your dog have any allergies? Yes No Does your dog take monthly heartworm preventative? Yes No   Is your dog on monthly flea preventative? Yes No
Is your dog taking any other medications? Yes No   Please List: Please list any major surgical or medical conditions your dog has experienced, with approximate dates: How many meals does your dog eat each day? How long is the food bowl left down with food in it? What is your dog's favorite treat? Are there any other pets in your household? If Yes, please describe how your dog interacts with these animals? What is your dog’s favorite toy? s your dog possessive of any toys, food, objects, or people? please describe: Has your dog played with other dogs off-leash? Yes No Is your dog afraid of any breeds or types of dog? Yes No If Yes, please list what breeds or types and who is afraid? Please describe how your dog reacts to strangers in your home? Please describe how your dog reacts to strangers approaching in public? Has your dog ever bitten a person? Yes No Has your dog ever bitten another dog? Yes No Has your dog ever been attacked or injured by another dog? Yes No Is your dog sensitive to being touched on any area of its body? Yes No If Yes, please describe where and what reaction your dog responds with Can your dog climb or jump fences? Yes No If yes, please describe type of fence and how tall:
How do you respond to your dog when he/she does something wrong?
Has your dog: Had any formal training? Yes No Been to an obedience class?Yes No Been trained at home? Yes No
Please Describe:
What kind of collar/harness is your dog used to wearing?
Please select ALL cues that your dog knows Sit Down Come Stay Heel Fetch Shake Leave It/Drop It Any Others?
Is there any thing else about your dog that you feel we should be aware of or that you want us to know?
Why did you choose Daycare for your dog? When will your dog begin daycare?
Whom may we Thank for telling you about Bark Park?

By Filling out this Form and Clicking the SUBMIT Button, You Agree To and Have Read, the Release and Hold Harmless Agreement Below and Agree To and Have Read the Policies for Services at or by owner or employees of Bark Park Dog Daycare,Training and Rescue.                                                                                                            

Release and Hold Harmless Agreement:
Owner (owner of dog, client of Bark Park Dog Daycare, and handler of dog) agrees that Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue and/or any independent contractor offering services at Bark Park Dog Daycare, Training and Rescue, will not be liable for any damage or loss or illness or injury to the dog or other dogs while in the care of Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue. In the unlikely event that your dog is injured or becomes ill while at Bark Park Dog Daycare, Training and Rescue, we will make every effort to contact you. If we are not successful in contacting you, we will contact your regular veterinarian. You are responsible for any resulting charges from your veterinarian or anyone else who cares for your dog. Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue are NOT responsible for any resulting charges from your veterinarian or anyone else who cares for your dog. Nor resulting from failure of the dog to respond to any cues or commands taught to the dog by Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue or resulting from counseling and advice supplied to owners of dog. Dog’s behavior now and in the future is solely the responsibility of the owners (client) of the dog. Should any behavior on the dog’s part now or in the future result in damage to the property, owners, or person of some third party, owner agrees to assume full responsibility to such third party for any and all such damage, and to absolve Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue from any and all obligations to pay such damage to a third party. All dogs are trained or otherwise handled or cared for or if owner receives instruction by Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue without any liability whatsoever on Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue for loss, damage from disease, death, running away, theft, fire, injury to persons, other dogs or property by said dog, or other unavoidable causes. In the event of in-home training provided by Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue whether owners are home or not, owners agree to absolve Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue from any and all liability whatsoever for loss or damage to property. In the event of training provided at the location of Bark Park Dog Daycare, Training and Rescue, 16095 County Line Rd., Masaryktown, FL 34604, owner agrees to absolve Amy Donohue and Staff and Bark Park Dog Daycare, Training and Rescue and/or any independent contractor offering services at Bark Park Dog Daycare, Training and Rescue, from any and all liability whatsoever for loss or damage to property, or injury to dog, or owner, or handler and to hold her harmless therefore.