Training Class Registration Information Form
Folsom
Please note that we can only guarantee you a spot in class upon receipt of payment. Since we close our classes when full, there are no refunds once you have paid for a class. Accepted forms of payment are Cash, Check, Money Order, Mastercard, Visa, or Amex. We will contact you to verify registration and make payment arrangements.
 
* Class Name: * Start Date (mm/dd/yyyy): * Time:
How did you hear about us?
 
* Your Name:
* Address:
* City:
* State:

* Zip:

* Phone (home) (10-digit numbers only):
* Phone (cell) (10-digit numbers only):
* Email Address:
Who will handle the dog in class?
* Name:
Adult Teen Child
Please provide an emergency contact.
* Name:
* Phone (10-digit numbers only):
* Dog's Name:
* Dog's Date of Birth (mm/dd/yyyy):
* Sex:
* Spayed / Neutered? YES NO Date (mm/dd/yyyy):
* Breed:
* Color: * Weight (lbs):
* Where did you get your dog?
* How old was s/he?
* Why did you choose this breed?

Who is your dog's veterinarian?
* Name:
* Phone Number (10-digit numbers only):
* Can the handler physically restrain the dog if the dog lunges towards another dog?

* Is this the first dog you've owned as an adult? YES NO
If not, what other breeds have you owned?
* Have you taken an obedience class with this dog? YES NO / Another dog? YES NO
If yes, where did you train?

What classes did you take?

* Have you ever put an obedience title on a dog? YES NO
Titles earned:
 
* # Adults in your household: * # Children in your household:
* List the names of all members of the household and include the ages of all children:

* List any other pets in your home (Please tell us what species and/or breeds):

* What do you feed your dog? (Brand and type of food, canned/dry):

* # Times/day:

* Amount each feeding:
* Is your dog crate trained? YES NO
Where is the crate located?
* Where does your dog sleep?
* How many hours is your dog alone each day?
* Where is your dog when you are not at home?
* Is your yard fenced? YES NO
* Why are you bringing your dog to class? What would you most like to accomplish as a result of this class?

 
Check all that apply to your dog:
Jumps on people Pulls on lead Barks excessively Comes when called
Plays nicely with other dogs Nips adults Nips children Barks / lunges at strangers
Chews / destroys things Loves new people Growls when touched / moved Barks / lunges at other dogs
Shy / afraid of people Digs Nervous in new places Housetrained
Bolts out front door Escapes yard Steals from tables / counters Soils crate
Calm / quiet Guards food / treats Chases cars Cries when left alone
Begs for food Snarls at you Takes treats gently Bumps into you / gets underfoot
Behaves for grooming Can be held / handled by your veterinarian / groomer   Bares his teeth at people
 
* How much (in hours) exercise does your dog get each day? What does it include?

* How many times has your dog bitten another dog? Please tell us about the incident(s) including whether this was a known or strange dog, what was happening immediately prior to the incident, whether a veterinarian was required, etc.

* How many times has your dog bitten a human being? Please tell us who (a family member, stranger, etc.), the age of the person bitten, where the incident(s) occurred, was medical attention required and what, specifically, was happening prior to the bite.

 
* What does your dog not like you to do? (Take toys away, take his food dish, brush her, etc.)

* What does your dog do about it? (Snarls, growls, walks away, barks, etc.)

* Does your dog have any chronic medical problems? Please list anything that is chronic and/or frequently recurring (arthritis, hip dysplasia, patellar luxation, OCD, ear infections, injuries, etc.) so that we can modify training techniques as needed to accommodate your dog.
* Does the handler have any physical limitations (temporary or permanent) we should know about in order to help train your dog? (Limited or diminished mobility, dexterity or strength; vision or hearing loss; asthma; emphysema; recent injury; back problems; pregnancy; etc.)
* Does the handler or the dog have an allergy to peanut butter? YES NO
* Please tell us anything else about your dog, his behavior or background so that we may better help you: (He/she growls when you take away food, nips at the children, bites shoelaces, won't come when called, jumps on my company, pulls me down the street, soils in the house, runs around - is "hyperactive", chases cars, won't hold still for grooming, etc.)

Although nobody likes rules, there are few that must be followed in order to participate in our training classes. Please read the following rules and check the box at the end of this form indicating that you have read and understand them:

  • Please exercise your dog (let your dog urinate and defecate) before bringing him/her into the facility. Clean up material is provided and YOU must clean up after your dog. Any infraction of this rule will result in expulsion from class. This will get us evicted from this space.

  • Please keep your dog in a martingale, limited slip or greyhound style collar with current ID at all times. If your dog does not have a current form of ID, we will be more than happy to provide one at no charge. (For your first class any collar that buckles or snaps closed will do)

  • Only one handler may handle the dog for the complete session of classes.

  • Please keep your dog on lead (no longer than six feet when indoors) at all times, inside and outside the building.

  • Please wear well fitting, rubber soled shoes - no open backs or sandals please.

  • Handlers of dogs must be 14 years of age or older except for the Kids & Dogs Workshops. Children 10 - 14 may handle a dog in Puppy Agility with the instructor's permission.

  • All family members are invited to attend as spectators. If you bring children please bring something for them to do (books, crayons etc). If you bring children under the age of 10 they must be accompanied by an adult who is not working with the dog.

  • Please respect the marked off areas and keep your dog, yourself and your guests out of those areas.

  • Please don't bring any dogs that are not enrolled into the building.

  • Please remember that the temperature inside your car can rise to 120 degrees in 12 minutes. Please don't leave dogs in the car.

  • Things to bring to class:
     - Towel or mat.
     - A variety of soft, yummy treats.  Bring way more than you think you will need.
     - Treat bag.
     - Regular 6-foot leash (Please no retractible).
     - Flat buckle or quick release collar is okay.  However, we strongly recommend using a frontclip harness.
     - A tired and hungry dog will be able to focus on you and be more responsive in class.

  • Please don't let your dog go up to any other dog while in the building or on the grounds. Please respect the dogs wearing red bandanas - these dogs don't like other dogs coming too close to them.

  • Please stay with the class - it's important that we work together as a group. If you're having a problem please raise your hand and someone will come over to help.

  • Please arrive a bit early to allow your dog time to sniff around and potty if needed.

  • Please, for the sake of the other dogs in class, do not bring your dog to class if she/he has diarrhea, vomiting, runny eyes or a runny nose.

  • Please remember that working with your dog is a commitment and you will need to practice five to six days a week for the entire class schedule.

  • Please remember to have FUN with your dog!

Agreement, Waiver and Assumption of risk:

This is a contract between The Barker Lounge and pet owner whose name appears below (hereinafter called “Owner”).

Owner understands that, despite all the dogs appearing healthy and being handled with the greatest amount of care and foresight, participation in daycare and boarding at The Barker Lounge is not without some risk. Exposure to our open play environment may result in injuries including but not limited to: cuts, bites, scratches, abrasions, puncture wounds, injuries to paw pads, contraction of contagious diseases and/or parasites, tracheobronchitis (kennel cough), stress, loss of appetite, behavioral issues, diarrhea, sprains, fractures, broken bones, insect bites, allergic reactions, weight loss, eye injuries, hot spots, bloat, and death. Owner understands this and hereby waives and releases The Barker Lounge, its employees, owners and agents from any and all claims, damages, liabilities, suits or losses of any nature that arise or occur while Owner or his dog are on the grounds or the surrounding area of The Barker Lounge, or resulting from participation in The Barker Lounge, 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 as a result of injury occurring on the property or being caused by any confrontation among dogs while in the care of The Barker Lounge. Owner gives The Barker Lounge permission to seek veterinary care at the veterinarian of their choice as they deem necessary for Owner’s dog(s) at Owner’s expense.

Owner also understands that the attendance of a dog obedience training class is not without risk to his/herself, members of his/her family and/or guests who may accompany him/her. Owner agree to hold The Barker Lounge, the class instructor, and the owners of the Barker Lounge and the Class Instructor’s company, their employees and the owner of the premises and any employees of the aforementioned parties harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of any dog while on the grounds or in the vehicles of or near any entrance thereto, and owner personally assumes all responsibility and liability for any such claim; Owner understands that some of the dogs to which he/she will be exposed may be difficult to restrain or control and may be the cause of injury to him/herself even when handled with the utmost care. Owner further agree to hold the aforementioned parties harmless from any claim for loss of this pet by disappearance, theft, death or otherwise, and from any claim for damage or injury to the pet whether such loss, disappearance, theft, damage or injury, be caused or alleged to be caused by the negligence of The Barker Lounge, the class instructor, or any of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. Owner hereby assumes the sole responsibility for and agrees to indemnify and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including Owner(s), or on account of damage to property, arising out of or in consequence of Owners participation in The Barker Lounge events, training sessions, classes or any other function, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or may be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons.

Owner agrees that his/her dog(s) is/are in good health, and will not bring any animals to The Barker Lounge if they have been ill with any communicable diseases or parasites in the last 30 days. Any dogs found with fleas or any other parasites will be treated, as deemed appropriate by the Barker Lounge, at the expense of the Owner.

Owner agrees that photographs, recordings, or any other images, may be made of his/her dog(s) by The Barker Lounge and that such may be used for any purpose without compensation. Owner hereby releases to The Barker Lounge all rights that he/she may possess or claim to such images, recordings, etc.

Terms: Payment is required when services are rendered. A 50% deposit may be requested to hold overnight boarding reservations. 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 six days of notification to the above address, that said animal will be considered abandoned, and that doing does not relieve me from financial obligation. I further understand that in case of nonpayment I will be subject to all billing, finance and or collection charges associated with my account.

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

The Barker Lounge 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.thebarkerlounge.com/

Signature: Date:

Thank you for choosing The Barker Lounge!