Bark N Stay - Register Your Pup(s) Online Pet Owner Name Address (including city, state, and zip) Phone Number Email How did you hear about us? Emergency Contact (phone number and Name) Vet Clinic and number Add Pet 1 Add Pet 1 Yes Pet Name Sex Sex Male Female Color Spayed or Neutered Spayed or Neutered Yes No Breed Has your dog shown people, dog, or food aggression? Has your dog shown people, dog, or food aggression? Yes to all No Only food Only other dogs Only People Only other dogs and food Has your dog experienced playing with other dogs outside of the household? Has your dog experienced playing with other dogs outside of the household? Yes No Are we allowed to give your dog treats? Are we allowed to give your dog treats? Yes No Does your pet have any food allergies? Does your pet have any food allergies? Yes No If so, explain Has your dog been boarded before? Has your dog been boarded before? Yes No Will your dog dig holes under a chain link fence? Will your dog dig holes under a chain link fence? Yes No Will your dog jump a 12ft fence? Will your dog jump a 12ft fence? Yes No I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I DO give permission I DO NOT give permission Add Pet 2 Add Pet 2 Yes No Pet Name Sex Sex Male Female Spayed or Neutered? Spayed or Neutered? Yes No Breed Color Has your dog shown people, dog, or food aggression? Has your dog shown people, dog, or food aggression? Yes to all No Only food Only other dogs Only people Only other dogs and food Has your dog experienced play with other dogs outside of the household? Has your dog experienced play with other dogs outside of the household? Yes No Are we allowed to give your dog treats? Are we allowed to give your dog treats? Yes No Does your pet have any food allergies? Does your pet have any food allergies? Yes No If so, explain Has your dog been boarded before? Has your dog been boarded before? Yes No Will your dog dig holes under a chain link fence? Will your dog dig holes under a chain link fence? Yes No Will your dog jump a 12ft fence? Will your dog jump a 12ft fence? Yes No I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I DO give permission I DO NOT give permission Add Pet 3 Add Pet 3 Yes No Pet Name Sex Sex Male Female Spayed or Neutered Spayed or Neutered Yes No Color Breed Has your dog even shown people, dog, or food aggression? Has your dog even shown people, dog, or food aggression? Yes to all No Only food only other dogs only people Only other dogs and food Has your dog experienced playing with other dogs outside of the household? Has your dog experienced playing with other dogs outside of the household? Yes No Are we allowed to give your dog treats? Are we allowed to give your dog treats? Yes No Does your pet have any food allergies? Does your pet have any food allergies? Yes No If so, explain Has your dog been boarded before? Has your dog been boarded before? Yes No Will your dog dig holes under a chain link fence? Will your dog dig holes under a chain link fence? Yes No Will your dog jump a 12ft fence? Will your dog jump a 12ft fence? Yes No I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I DO give permission I DO NOT give permission Add Pet 4 Add Pet 4 Yes No Pet Name Sex Sex Male Female Spayed or Neutered Spayed or Neutered Yes No Color Breed Has your dog shown people, dog, or food aggression? Has your dog shown people, dog, or food aggression? Yes to all No Only food Only other dogs Only people Only other dogs and food Has your dog experienced playing with other dogs outside of the household? Has your dog experienced playing with other dogs outside of the household? Yes No Are we allowed to give your dog treats? Are we allowed to give your dog treats? Yes No Does your pet have any food allergies? Does your pet have any food allergies? Yes No If so, explain Has your dog been boarded before? Has your dog been boarded before? Yes No Will your dog dig holes under a chain link fence? Will your dog dig holes under a chain link fence? Yes No Will your dog jump a 12ft fence? Will your dog jump a 12ft fence? Yes No I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I allow Bark N Stay staff to choose an appropriate supervised playgroup or playmate for my dog while in the exercise yard or inside the playroom. If i give permission for my dog to have a playmate, I understand that there is a minimal risk of injury or death to my dog. I hold Bark N Stay LLC, harmless in such injury, death, or illness. I DO give permission I DO NOT give permission Your Pup(s) vaccines Your Pup(s) vaccines Send vaccines to (423)-607-1660 Or our email [email protected] What dates are you needing to board? (This does NOT guarantee your spot, you will receive a message from us) Submit
