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Your Dog's Name
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Predominant Breed
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Colors/Markings
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Age/Date of Birth
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Your Name(s)
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Address:
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City, State Zip
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Work Phone
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Home Phone
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Cell Phone
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Alternate Contact
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Alternate Contact Phone
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Your Regular Veterinarian/Clinic
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Veterinarian's Phone
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Your E-mail Address
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Please Select One
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What was your dog's age when he/she came to live with you?
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Where did you get your dog?
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Has this dog had any other owner(s)?
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Why did you get this dog?
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Is your dog usually left alone during the day?
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If yes, how long?
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Where is your dog usually kept during the day?
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During the night ?
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How many times each day is your dog used to going outside/walking for elimination?
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Does your dog have any allergies?
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If Yes, Please Describe:
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Does your dog take heartworm preventative?
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What method of flea & tick control do you use on your dog?
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Is your pet taking any other medications?
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If yes, Please List Medications and for what condition:
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Please list any major surgical or medical conditions with approximate dates
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How many meals does your dog eat each day?
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What brand and type of food does your dog eat?
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How long is the food bowl left down with food in it?
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How often does your dog eat treats each day?
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What is your dog's favorite treat?
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How would you describe your dog's weight?
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Are there any other pets in your household?
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If Yes, please list: species, breed, sex, age
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If Yes, please describe how your dog interacts with these animals?
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What is your dog’s favorite toy?
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If your dog has something in its mouth that you do not
want them to have, will they drop the object if asked?
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Is your dog possessive of any
toys, food, objects, or people?
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Would they let you take it from them?
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If Yes, please describe:
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Has your dog played with other dogs off-leash?
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How often?
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Is your dog afraid of any breeds or types of dog?
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Are you afraid of any breeds or types of dogs?
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If Yes, please list what breeds or types and who is afraid?
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Please describe how your dog
reacts to strangers in your home?
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Please describe how your dog reacts to
strangers approaching in public?
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Has your dog ever bitten a person?
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If Yes, Please briefly describe circumstances
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Has your dog ever bitten another dog?
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If Yes, Please briefly describe circumstances
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Has your dog ever been attacked
or injured by another dog?
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If Yes, Please briefly describe circumstances
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Is your dog sensitive to being
touched on any area of its body?
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If Yes, please describe where and
what reaction your dog responds with
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Can your dog climb or jump fences?
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If yes, please describe type of fence and how tall:
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How do you respond to your dog when he/she does something wrong at home?
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Has your dog: Had any formal training? Been to an obedience class, Been trained at home? Please Describe
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What kind of training collar/harness is your dog used to wearing?
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Please check ALL commands that your dogs knows
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Any Others?
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Is there any thing else about your dog that you feel we should be aware of or that you want us to know?
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Why did you choose Daycare for your dog?
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When will your dog begin daycare?
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Whom may we Thank for telling you about Bark Park?
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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 and/or any independent
contractor offering services at Bark Park Dog Daycare 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. In the unlikely event that your dog is injured or becomes ill while at Bark Park Dog Daycare, we will make every effort
to contact you. If we are not successful, 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 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 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 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 without any liability whatsoever on Amy Donohue and Staff and Bark Park Dog Daycare 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 whether owners are home or not, owners agree to absolve Amy Donohue and Staff and Bark Park Dog Daycare 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, 75 Kostka Drive, Masaryktown, FL 34604, owner agrees to
absolve Amy Donohue and Staff and Bark Park Dog Daycare and/or any independent contractor offering services at Bark Park Dog Daycare 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.
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By Filling out this Form and Clicking the
SEND Button below, You agree to and
have read the Release and Hold
Harmless Agreement Above and Agree
to and Have Read the Policies for
Services at or by owner or employees of
Bark Park Dog Daycare and Training.
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