Y Bark Alone Registration

Y Bark Alone Pet Care Agreement 

10390 Watson Rd. Sunset Hills, Mo 63127. 314-821-8500 Fax: 314-821-8501


























List the most recent dates of the following vaccinations along with any preventatives:







Any additional information regarding your pet: (Allergies, Food or Toy aggressive, Barker, Biter)

This registration is correct to the best of my knowledge:




Y BARK ALONE
MEDICAL RELEASE

This is a required form for all Y BARK ALONE LLC. Participants receiving services.

First and foremost the safety and well-being of your pet(s) is of the utmost importance to Y Bark Alone. Ensuring that your pet remains safe and well cared for is our number one priority. Here at Y Bark Alone, we verify that all vaccinations are current and remain up to date.

In the event of a medical emergency, at our facility or participating in a service that we provide, you will be notified immediately. IF you cannot be contacted at the time of the emergency, Y Bark Alone, will take your pet to the closest veterinarian hospital. Y BARK ALONE LLC. at its sole discretion deems to need the immediate attention of a licensed veterinarian.

I authorize Y BARK ALONE LLC. to seek medical attention at the closest available veterinary facility. I further agree that I am financially responsible for any medical treatment my pet(s) receives as a result of a medical emergency while attending services provided by Y BARK ALONE LLC.






*** Please attach proof of vaccinations from your veterinarian or have your Vet fax them to us at: 314-821-8501
Y BARK ALONE
PET CARE AGREEMENT







1. I further understand that Y BARK ALONE LLC has relied upon my representation that my dog is in good health and has not injured or shown aggression or threatening behavior to any person or dog in admitting my dog for services at their facility.

2. I further understand that Y BARK ALONE LLC. Their owners, staff partners and volunteers, will not be liable, financially or otherwise, for injuries to my dog, myself or any property of mine while my dog is participating in services provided by Y BARK ALONE LLC.

3. I hereby release Y BARK ALONE LLC of any liability of any kind arising from my dog’s participation in any and all services provided by Y BARK ALONE LLC.

4. I further understand and agree that any problems with my dog, behavioral, medical or otherwise be treated as deemed best by the staff of Y BARK ALONE LLC. In the sole discretion, and in what they view as the best expenses involved in regards to the behavior and health of my dog.

5. I further understand that there are risk and benefits associated with group socialization of dogs. I agree that the benefits outweigh the risks and that I accept the risk. I desire a socialized environment for my dog while attending services provided by Y BARK ALONE LLC. And while in their care, I understand that while the socialization and play is closely and carefully monitored by Y Bark Alone staff to prevent injury, it is still possible that during the course of normal play my dog may receive minor nicks and scratches from roughhousing with other dogs. Any injuries to my dog will be pointed out by staff upon pick-up.

6. I understand by allowing my dog to participate in services offered by Y BARK ALONE LLC. I hereby agree to allow Y BARK ALONE LLC. to take photographs or use images of my pet in print form or otherwise for publication and or promotion.

7. I further understand that I am solely responsible, financially or otherwise, for any harm or damage caused by my dog while my dog is attending any services provided by Y BARK ALONE LLC.

8. I understand that if my dog is not picked up on time or by a date specified in a separate agreement, I hereby authorize Y BARK ALONE LLC to take whatever action is deemed necessary for the continuing care of my dog. I will pay Y BARK ALONE LLC the cost of any such continuing care upon demand by Y BARK ALONE LLC. I understand that if I do not pick up my animal, Y BARK ALONE LLC will proceed according to the guidelines provided by Missouri Statute 147.20 Abandonment of animals by owner; procedure for handling. I also acknowledge that I will be fully responsible for all attorney's fees and associated cost if I abandon my dog






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