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Train 'n' Play Service Contract
Please select:
Client and Dog Information
First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
Email Address:
Referred by
Dog's Name/ID:
Breed:
Dog's Age:
Dog's Sex: Male Female

Emergency Information
Client's trip location
Contact information for trip location:
Emergency Contact:
Emergency Phone:
Current medications and reason(s) for the meds:
Important Medical History Notes:

Feeding Instructions
Dog's Regular Treats:
Other Treats OK? Yes No
Treat/Dietary Restrictions

Behaviorial Instructions
Requested behaviors:
Special Instructions or Notes regarding Behavioral Issues:
Dog training commands my dog currently knows (please list what percentage of the time your dog responds NO MATTER WHAT): Ex: Sit, 70%

Stay Boarding/Daycare Details
Arrival Date/Time
Departure Date/Time

Liability Waiver & Policies

1. Barker Behavior, Inc. will endeavor to create as safe an environment as possible for the training and boarding care of my dog and will offer only sound, safe, and responsible training, care, and post-boarding training instructions. However, I recognize that Barker Behavior, Inc. is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times and I hereby agree to indemnify and hold harmless Barker Behavior, Inc. of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Barker Behavior, Inc. care and under my own care as a result of following training instructions. I have been told by Barker Behavior, Inc. and understand the inherent risks in owning a dog, including but not limited to the risk of dog bites to myself or others.
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2. I authorize emergency medical care to be provided for my dog(s) by the above-named veterinarian, or an appropriate alternate to be determined by Barker Behavior, Inc.in the event that my regular veterinarian is not available or that closer care is required. I will reimburse Barker Behavior, Inc.for any charges related to emergency care.
I authorize Barker Behavior, Inc.to administer or seek 1st aid and rescusitive care for my dog(s) as determined appropriate by Barker Behavior, Inc.and I agree to indemnify and hold harmless Barker Behavior, Inc.for all and any results thereof.
I DO NOT authorize Barker Behavior, Inc. to administer or seek 1st aid and rescusitive care for my dog(s) as determined appropriate by Barker Behavior, Inc. and I agree to indemnify and hold harmless Barker Behavior, Inc. for all and any results thereof.
Initial:

3. I understand payment is due at checkout:
Initial:

This contract is validated by the initials below in total and as approval for future services without additional authorization.
Initial:

 






 

 

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