840 Sweeney Avenue
Redwood City, CA 94064

You may also fax the application to (650)299-1768

Bark Park Inc. Bark Park strives to provide a safe, fun and stimulating environment for dogs. To ensure the safety and health of your pet and our other guests, we require that all guests to comply with our following rules and regulations. AGE: All dogs must be at least 10 weeks of age or older. A soft collar with current I.D. is mandatory. SEX: All dogs older than 1 year of age must be spayed or neutered. SHOTS: All dogs must have up-to-date vaccinations. Owners must be able to submit written proof of their dogs' DHLPP and Bordetella vaccinations. Rabies is required for dogs over 4 months of age. Dogs must maintain a flea control program. HEALTH: All dogs must be in good health. Owners will certify their dog(s) are in good health and have not been ill in the last 30 days. On admission, all dogs must be free from any condition that could potentially jeopardize other guests. Dogs who have been ill with a communicable condition in the last 30 days will require veterinarian certification of health to be admitted or readmitted. BEHAVIOR: All dogs must be non-aggressive and not food or toy protective. Owners will certify that their dog(s) have not harmed or shown any aggressive or threatening behavior towards any person or any other dog(s). Your dog will be interacting with other dogs throughout the day and the safety and health of all animals and persons is a main concern. RISKS: One of the reasons you have chosen Bark Park to care for your dog is the socialization aspect of our care. The exposure of your dog to other dogs creates a chance of injury or development of illness. It is our promise to take precautions to reduce this risk but cannot eliminate it completely. Common injuries can include sore feet, joints, muscles, nicks and scratches. Common illness can include diarrhea and minor respiratory infections. The risks of attending daycare however, are less than visiting your local dog park. APPLICATION: All dogs must have a complete, up-to-date and approved application on file. DAYS AND HOURS: Monday thru Friday from 7am to 7pm and Saturday and Sunday for drop off or pick up 9-10am and 4-5pm. RESERVATIONS: Reservations are recommended. EMERGENCY CONTACT INFORMATION Owner Information Name: _________________________________________________ Address: _________________________________________________ _________________________________________________ Home Phone:__________Work Phone:_________Cell Phone:_______ Emergency Contact Name: __________________________________________________ Home Phone:_________Work Phone:__________Cell Phone:________ Owner Email Address:____________________________________ PET INFO AND PERSONALITY PROFILE General Information How did you hear about Bark Park?____________________ Dog's Name:_______________ Dog's birth date:__________ Dog's breed:______________ Sex:______ Age:_________ Weight:_________ How long have you owned your dog?______________________ Where did you get your dog?___________________________ If adopted, do you have any knowledge of your dog's past history?__________________________________________ Is Your dog Spayed/Neutered?_________________if yes, at what age was this done__________________ Does your dog like children?___________________ How does your dog behave around children? ___________________________________________ Are there other animals in your household? If so, please list type, sex and age of each: __________________________________ How does your dog get along with other resident animals? ___________________________________________ Vet Name:_______________ Contact Info:______________ HEALTH/GROOMING Does your dog have a problem with fleas?_________ Allergies?___________________________ Does your dog have hip dysplasia?______________________ If yes, what restrictions need to be placed on your dog's activities and movement? _____________________________________ Does your dog like to be brushed?_______________________ How often do you brush your dog's coat?__________________ How does your dog react to having his/her nails clipped?_______ Does your dog have any sensitive areas on his/her body?____________________________________________ Where are your dog's favorite petting spots?_______________ BEHAVIOR Does your dog act afraid of any specific items or noises? If so, please explain:_____________________________________ ________________________________________________ How does your dog react to strangers coming into your home or yard?___________________________________________ Does your dog ever bark or growl at anyone passing outside your home or yard?___________________________________ Are there any kinds of people your dog automatically fears or dislikes?________________________________________ Are there any kinds of dogs your dog automatically fears or dislikes?________________________________________ How does your dog react to puppies?___________________ Has your dog ever: Growled at someone?_____________ What were the circumstances?___________________________________ Bitten someone?________________ What were the circumstances?__________________________________ Does your dog have any problems in any of the following areas(if so, please explain) Mouthiness____________________________________ Housetraining__________________________________ Barking_______________________________________ Digging_______________________________________ Ignoring commands______________________________ Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her?___________ What were the circumstances?______________________________ Has your dog ever shared his/her food or toys with other animals?________________________________________ Does your dog play with any toys____________________ What type of toys does your dog like and what games does he/she like?______________________________________________ Does your dog play with other dogs?______________________ Has your dog ever had any formal obedience training?_________ If yes, when and where?_______________________________ What commands does your dog know?_____________________ Does your dog know any tricks? ____________________________________________ Other comments about your dog which you feel might be helpful: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Indemnity Provision I shall defend, indemnify and hold Bark Park, Inc., its officers, directors, agents and/or employees, exempt and harmless from any and all claims, damage or injury to any person or the dog(s), and other property of any person, arising from my dog(s) attendance and participation at Bark Park, and shall further indemnify, and hold harmless Bark Park, Inc., its officers, directors, agents and/or employees, from and against any and all claims arising from any breach or default in the performance of any obligation on my part to be performed under the terms of this agreement, and from and against all costs, attorney's fees, expenses and liabilities incurred in the defense of any such claim or any action or proceeding brought thereon; and in case any action or proceeding be brought against Bark Park, Inc., its officers, directors, agents and/or employees by reason of any such claim, I shall, upon written notice, defend the same at my expense by counsel satisfactory to Bark Park, Inc. I, as a material part of the consideration to Bark Park, Inc., hereby assume all risk of damage to property or injury to persons and/or dog(s) arising from any cause and I hereby waive all claims in respect thereof against Bark Park, Inc. Limit of Liability Should Bark Park, Inc., its officers, directors, agents and/or employees, become obligated to me for any reason, their combined liability shall never exceed Fifty Dollars ($50.00). Refusal of Service Bark Park, Inc., reserves the right to refuse service to any owner and/or dog at any time, without cause or justification. ____________________________ Signature of Owner ____________ Date ____________________________ Witness ____________ Date Name(s) of Dog(s) ______________ ______________ ______________ ______________ Proof of Vaccinations Rabies - exp __________ DHLPP - exp __________ Bordetella - exp _______ Attach Record