Finsbury Bark
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Finsbury Bark
General Info
Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Mobile Number
*
Work Number
Emergency Contact
Your Dog's Details
Name
Feel free to include nicknames!
Age
Gender
Male
Female
Breed
Is your dog microchipped?
Yes
No
Is your dog insured?
Yes
No
Neutered?
Yes
No
Up to date with shots?
Yes
No
No, but will be by:
Date of last Kennel Cough vaccination (Bordetella)?
Allergies
Please list any pre-existing or current health conditions
Please list any medication your dog is currently taking and instructions
Please describe any restrictions on your dog’s activity
Please provide your vet's name, number and address
Is your dog allowed treats whilst under the care of Finsbury Bark?
Social Skills
Please give a brief description of any formal obedience training your dog has received
How does your dog react to other people and dogs when on walks?
Behaviour
Please describe general behaviour and energy levels (both inside and when out)
Please provide details if your dog is anxious around, or frightened by, any of the following:
Noises
Actions
Objects
Breeds or types of dogs
Types of people
Does your dog behave differently on and off lead?
Does your dog play off lead with other dogs?
Off-lead with owner
Yes - always
Usually
Occasionally
Never
Recall
Very good
Average
Poor
Notes on Recall
Please give any other information that you think would be useful to enable us to give your dog the best possible care while under the care of Finsbury Bark
Disclaimer & Waiver of Liability
The information I have given in this application is true, correct and complete to the best of my knowledge. I hereby indemnify Finsbury Bark and their staff against liability of any kind whatsoever arising from my dog’s participation in any services offered by Finsbury Bark.
I agree
Signed
*
Date
MM
DD
YYYY
Off the Lead Consent Form
I agree to Finsbury Bark having the right to allow my dog off the lead. I hereby indemnify Finsbury Bark and their staff against liability of any kind whatsoever arising from my dog’s participation in any services offered by Finsbury Bark.
I agree
Signed
*
Date
MM
DD
YYYY
Thank you!