New Customer Enrolment Form

New Customer Enrolment Form
Owners Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Mobile

Phone Number
E-mail
How did you hear about us???*
Alternative Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
Mob

Area CodePhone Number
E-mail
Name of Vet Clinic
Pet Name/Breed/Colour/Gender*
Desexed*
Date of Birth
Second Pet Name/Breed/Colour/Gender
Desexed
Date of Birth
Third Pet Name/Breed/Colour/Gender
Desexed
Date of Birth
Vaccinations Must be given MORE than 14 days prior to Boarding please!
Pet One- Date of LAST Vaccination*
Pet two: Date of LAST Vaccination
Pet Three: Date of LAST Vaccination
Flea/Worm products must be vet approved! Please do NOT use Frontline or Broadline on Cats.Worm treatments Need to be ALLWORMERS. Less than 7 days prior to Boarding please!
Date of Last FLEA Treatment
Product Used
Date of Last ALL WORMER Treatment
Product Used
Any health problems /medications that we need to be aware of. All medications Need to be labeled with Pets name and dosage instructions
Please tell us if your pet/s have any behavoural problems that we need to know about. Barking/chewing/separation anxiety
Socialisation with other pets:( Where possible we like to have pets socialise with similar size friends.)
Special food requirements: (we do provide a top quality premium food but if your pet/s are on a special diet, please bring food clearly labled in meal sized portions where possible.
Booking Dates Below
Hours: Monday to Friday 7.30am to 10 am and 4pm to 6pm, Saturday 7.30am to 10am ONLY, Sunday 4pm to 6pm ONLY
Check In time*

DayMonthYearHourMinutesAM/PM Option
Check out time*

DayMonthYearHourMinutesAM/PM Option
Exit Bath (Dogs) (Subject to time and availabilty)($25)
Should be Empty:

New Customer Enrolment Form

Vaccinations Must be given MORE than 14 days prior to Boarding please!

Flea/Worm products must be vet approved! Please do NOT use Frontline or Broadline on Cats.Worm treatments Need to be ALLWORMERS. Less than 7 days prior to Boarding please!

Booking Dates Below

Hours: Monday to Friday 7.30am to 10 am and 4pm to 6pm, Saturday 7.30am to 10am ONLY, Sunday 4pm to 6pm ONLY