Boarding dates;
From…………………….
To……………………..
Owner
details:
Name…………………………………………………………………………………….
Address…………………………………………………………………………………
………………………………………………………………………………………………
Contact
details:
Telephone
Home…………………………
Work………………………….
Mobile……………………..
Other (please
specify )…………………………
Email
……………………………………..
Your Veterinary Surgeon’s
name and contact………………………………………………………..
Dog (s)
Details:
Name…………………………………………………………………..
Breed/
Description ……………………………………………..
Age
.....................................................
Male/ Female
……………………………………………………….
Neutered yes/
no……………………………………………….
Last Heat
date……………………………………………………
Microchip/
tattoo yes / no If yes please supply number…………………………………
Insurance yes /
no…………………………………………………Details……………………………………..
Does your dog have any medical conditions? If yes please detail below including full
details of any medication the dog will/ might need while with
us……………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………..
Any behavioural
issues that we need to know about? ……………………………………………..
Please detail
below including your dog’s likes and dislikes.
Your dog’s usual Diet,
quantity and approximate time of feeds.
……………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
TERMS
AND CONDITIONS
Whilst we take
every care whilst your dog is with us, responsibility for the dog can only be
accepted at the owner’s own risk.
A vaccination
certificate according to Hayfields protocol must be shown on
arrival.
A 25 % Deposit
is payable at time of booking and the balance due with the arrival of the dog.
Each part of day is charged as a full day.
I agree to the
terms and conditions.
Signed………………………………Dated……………………………….