New Client Registration

Welcome to the Parlour! Please fill this out before your pup's first visit so we know how to take the best care of them. One form per dog. Fields marked * are required.

1Parent info

Your name *

Mobile phone *

Emergency contact mobile

People allowed to pick up

2Pet info

Your pet's name *

Breed

Date of birth

Age

Approx. weight

Sex

Female Male

Rabies vaccine date

Bordetella ("kennel cough") date

Spayed / neutered *

Yes No

Description (color, unique characteristics)

Medical details * (allergies or medical conditions; write "None" if none)

Disposition (aggressive, nervous, shy around strangers? How are they around other dogs?)

Special instructions

How did you hear about us?

May we use photos we take of your pet on our social media pages?

Yes No

3Release & signature

Release of liability: Shaving hair close to the skin can cause temporary rashes and the development of bald patches in the future. Barkin Parlour is not responsible for the after effects that might occur after a "shave-down".

I have read the release above, and the information on this form is correct. *

Signature * (sign with your finger or mouse)

Sign here

Your answers go straight to Barkin Parlour as a PDF and are only used to care for your pet. Questions? Call (631) 260-9508.

Thank you!

We received your registration. See you at the Parlour!

Call to book (631) 260-9508