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Dog Parent Information

First name

Last name

Phone

Birthday (MUST BE 18+ TO ENTER PARK)

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Dog Information

Dog Name

Dog Breed (put n/a if you don't know)

Dog Birthdate

Month

Day

Year

Dog Weight (lbs)

Dog Photo (Profile shot)

Most recent Veterinary Paperwork (you can upload max. 5x files)

Must include verification of Rabies vaccination, dates of next shots for Bordetella and Distemper (DHPP, DHLPP, or DA2PP). Dog must be spayed or neutered. *It is strongly recommended that you wait 2 full weeks to come to the park after your dog receives his/her updated vaccination(s) to ensure maximum protection for both your dog and the dogs at the park. Always consult your veterinarian to determine the best timeline based on your dog's specific vaccine schedule and your local risk factors.

Due Date of Next Rabies Shot

Month

Day

Year

Due Date of Next Bordetella Vaccination

Month

Day

Year

Due Date of Next Distemper Shot

Month

Day

Year

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2nd Dog Information

SKIP THE NEXT PART IF YOU ARE NOT REGISTERING A 2ND DOG. Scroll down to "Review and Acknowledge" section below.

2nd Dog: Name

2nd Dog: Dog Breed (put n/a if you don't know)

2nd Dog: Birthdate

Month

Day

Year

2nd Dog: Weight (lbs)

2nd Dog: Photo (Profile shot)

2nd Dog: Most recent Veterinary Paperwork (you can upload max. 5x files)

2nd Dog: Due Date of Next Rabies Shot

Month

Day

Year

2nd Dog: Due Date of Next Bordetella Vaccination

Month

Day

Year

2nd Dog: Due Date of Next Distemper Shot

Month

Day

Year

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Review and Acknowledge

Review Participant Waiver, Release of Liability and Indemnification Form chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.barkbarkadventurepark.com/_files/ugd/8fcc79_5c42b05de6634b7ca0a0840f5660b149.pdf

I declare that the info I've provided is accurate and complete

I declare that I have reviewed and acknowledge both Page 1-2 of the Participant Waiver, Release of Liability and Indemnification Form

Signature

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