Client/Dog Registration

Client Registration Form

Today’s Date *

Owners Name *

Address *

Address

Zip/Postal

City

Country

Phone *

Email *

Name of Emergency Contact *

Emergency Contact Phone Number

Vets Name *

Vets Phone *

Dog 1 Info

Doggy Facts and Figures

Dogs name *

Breed *

Age *

Sex *

Colour *

Microchip Number *

Has your dog been in kennels before? If yes, which kennels…. *

Arrival Date *

Departure Date *

Drop off and collection time is between 10am and 12noon. We will give you a specific appointment time between these hours as we can only have one customer at a time at the kennels. If you require to collect your dog after 12noon on the day of departure, then there will be a late pick up fee charged.

Health Record

Upload a photo of your dog’s vaccination record card

Maximum file size: 5MB

Has your dog suffered from any illnesses, diseases or conditions in the past that has required veterinary treatment (no matter how small or trivial): *

Is your dog currently on any medication from the vet, if so, what condition are they currently suffering from: *

Last Booster Date *

Last Kennel cough vaccination date *

Has your dog been neutered? *

Yes

Social Habits

How does your dog react to new people? *

Does your dog prefer men or women? *

How does your dog react to other dogs? *

Has your dog been the cause of a fight with another? *

Are you happy for your dog to play/mix with other guests? *

Does your dog have a favourite toy/game? *

Is there anything that causes your dog to be scared? *

Do you have another dog?

Dog 2 Info

Doggy Facts and Figures

Dogs name *

Breed *

Age *

Sex *

Colour *

Microchip Number *

Has your dog been in kennels before? If yes, which kennels…. *

Arrival Date *

Departure Date *

Health Record

Upload a photo of your dog’s vaccination record card

Maximum file size: 5MB

Has your dog suffered from any illnesses, diseases or conditions in the past that has required veterinary treatment (no matter how small or trivial): *

Is your dog currently on any medication from the vet, if so, what condition are they currently suffering from: *

Last Booster Date *

Last Kennel cough vaccination date *

Has your dog been neutered? *

Yes

Social Habits

How does your dog react to new people? *

Does your dog prefer men or women? *

How does your dog react to other dogs? *

Has your dog been the cause of a fight with another? *

Are you happy for your dog to play/mix with other guests? *

Does your dog have a favourite toy/game? *

Is there anything that causes your dog to be scared? *

Permission for us to use photos of your dog (s) on our facebook page & website? *

Yes

Permission for us to contact you by *

Text

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Terms and Conditions *

Terms and Conditions read and understood

If you are human, leave this field blank.

Dog 1 Info

Doggy Facts and Figures

Health Record

Social Habits

Dog 2 Info

Doggy Facts and Figures

Health Record

Social Habits

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