Existing Customer Enrolment Form

Wanganui Pet Motel

Existing Customer Booking
Full Name

First Name Last Name

Address (If Changed)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
Work Number

Area Code Phone Number
Mobile

Phone Number
E-mail
Alternative Contact Person

First Name Last Name
Phone Number

Area Code Phone Number
Mob

Area Code Phone Number
E-mail
PET DETAILS
Pet Name
Breed/Sex/Colour
Pet Two
Breed/Sex/Colour
Pet Three
Breed/Sex/Colour
Name of Vet Clinic
Vaccinations Must be given MORE than 14 days prior to Boarding please!
Date of LAST Vaccination *
Date of last Vacination
Date of last Vacination
LESS THAN 7 DAYS PRIOR to Boarding please!Worm treatments Need to be ALLWORMERS. Flea/Worm products must be vet approved! Please do NOT use Frontline or Broadline for cats.
Date of Last Flea Treatment
Product Used
Date of LAST Worm 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 Details 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 Date and time *

Day Month Year
at
Hour Minutes AM/PM Option Date Picker Icon
Check out Date and time *

Day Month Year
at
Hour Minutes AM/PM Option Date Picker Icon
Exit Bath (Subject to time and availabilty) ($25)
Should be Empty:

Wanganui Pet Motel

PET DETAILS

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

LESS THAN 7 DAYS PRIOR to Boarding please!Worm treatments Need to be ALLWORMERS. Flea/Worm products must be vet approved! Please do NOT use Frontline or Broadline for cats.

Booking Details 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