Owner Information

* Name

* Address

* City                                                              * State                                     * Zip

* Home Phone                                  Cell Ph                                  Work Ph

  Employer

* Email

Information is for registration purposes only. Club Barks will never share any of your personal information, including your email address.

    

Club Barks Online Registration Form (takes about 10 min to fill out)
Emergency Information  (other than yourself):

* Name

* Phone Number                                             * Relationship

* The following people are authorized to pick up my dog from the Club Barks (separate with commas):

   
Your Pet Information

* Name

* Breed*                                                                                      Color

* Birthdate                                                                   * Weight

*  (All dogs 6 months or older MUST be spayed/neutered to play at the Club Barks)

                                                                                   
Your Veterinarian's Information

* Name of Animal Hospital

* Phone Number                                                                                                                      

* Address                                                                         * City

* State                                         *Zip
                          
Your Dog's Health Information

Vaccination Checklist (Please enter the last date given for all vaccinations)

* DHLLP

* Bordetella                                             

* Rabies

* Flea/Tick Medication (type and last time administered)

* Does your dog have any allergies?
If yes, please explain:



* Are there any restrictions that should be placed on your dog's activity, or special needs your dog has?



Your Pet's Profile

* Are there any types of people or dogs that your dog seems to have a problem with?



* Can you take food/toys away from your dog without him/her growling?



* Are there any areas on your dog's body that he/she doesn't like touched?



* Has your dog ever socialized with a large group of dogs?

If yes, please describe the circumstances and your dog's behavior under these circumstances:



* Can your dog jump a 6-foot fence?
Please share any other information that you think would assist the staff in providing the best possible care and most fun for your dog during his/her stay:



*How did you hear about us?



Did a friend recommend you? If so, who? (We reward loyal customers for their references)




Contract [PLEASE READ}

This is a contract between MESAW, LLC (d/b/a Club Barks) (hereinafter referred to as "Club Barks") and pet Owner whose name appears below (hereinafter called “Owner”). 

Owner understands that participation in daycare, boarding, training and grooming at Club Barks is not without some risk.  Despite all of the dogs appearing healthy and being handled with the greatest amount of care and foresight, dogs are not always predictable and the unexpected may occur.  Owner herby waives and releases Club Barks, its employees, the Owners and agents from any and all claims, damages, liabilities, suits or losses of any nature that arises or occur with the Owner or his dog or on the grounds or the surrounding area of Club Barks or resulting from participation in Club Barks, including specifically, but not limited to, any injury or damage resulting from the action of any dog(s).  Owner further agrees to pay any medical veterinary expense incurred or as a result of the injury occurring on the property or being caused by any confrontation among dogs while in the care of Club Barks.  Owner gives Club Barks permission to seek veterinary care at the veterinarian of their choice as they deem necessary for Owner’s dog(s) at Owner’s expense.

By signing this, I also understand the risk that my dog may develop a cough, runny nose, sneezing, canine influenza, parasites or stomach virus amongst other ailments that may stem from playing in a cageless environment and/or exposure to the other animals at Club Barks.  Owner herby waives and releases Club Barks, its employees, Owners and agents from any and all claims, damages, liability, suits or losses of any nature that arise or occur to the above-mentioned or any other ailments.

Terms:
Payment is required when service is rendered.  A 50% deposit may be requested to hold overnight boarding reservation.  If you must cancel for any reason, we must receive notice (48) hours prior to the day of the reservation in order for your deposit to be refunded.  No-shows and cancellations after this time are NON-REFUNDABLE.  We accept cash, checks, Visa, MasterCard and American Express.

Agreement:
I agree to make prompt and complete payment upon discharge of the animal.  I understand that if I neglect to pick up the above animal within (6) six days of notification to the above address, that said animal would be considered abandoned, and that doing so does not relieve me from financial obligation.

I further understand that in the case of non-payment, I will be subject to all billing finance and/or collection charges associated to my account.

* Owner's Name: 

* Dog's Name: 

* Address: 

* Phone Number: 

By signing this registration form, you indicate that you are the owner, or the agent of the owner, of the aforementioned pet, and are authorized to release the pet to the care of Club Barks.

You also indicate that you understand the policies, procedures, and schedule of fees as stated on Club Barks website, and affirmatively, voluntarily and expressly consent to the release and other terms set forth in this contract.

Club Barks reserves the right to add to, update, and change these policies, procedures, and schedule of fees from time to time without notice. Continued use of our services after any such changes shall constitute your consent to such changes. You can review the most current version of our policies, procedures, and schedule of fees at any time by viewing the registration form at: http://www.clubbarks.com/

* Owner's Initials:                                   * Date: 


Thank you for choosing Club Barks! 

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     *Please note that Rabies Vaccine and Spay/Neuter are not required                                                  for puppy classes and puppy playtime for dogs under 6 months
Please Describe the class you are interested in
Rabies Vaccine is not Required for Puppies under 6 Months
Please note that we require Bordetella every 6 months

The perfect get-away for dogs, conveniently located in Woodland Park, NJ
973-81-BARKS
wp@clubbarks.com
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Daycare
Boarding
Training
Grooming