Dog Boarding: Booking and consent form

Full name

Address

Home Phone

Mobile

Email

Number of dogs

Name

Male/FemaleMaleFemale

Breed

Date of Birth

Markings

Microchip Number

Neutered/SpayedYesNo

Date of Last Flea Treatment

Date of Last Vaccinations

Medical Conditions / Allergies / Meds

Vet Name

Vet Address

Vet Phone

Out of Hours Phone

Insurance Company

Policy No

Insurance Phone

Drop-off Date

Drop-off Time

Collection Date

Collection Time

Food Brand/Type

Amount and Times Per Day

Other Instructions

Command Words

Please list command words that your dog is familiar with (Sit, Stay, No, Quiet, Wait, Come etc)

Do they like cuddles?YesNoSometimes

Are they nervous of loud noises?YesNoSometimes

Are they possessive with food?YesNoSometimes

Are they happy to share toys with other dogs?YesNoSometimes

Are they aggressive with other dogs?YesNoSometimes

Are they aggressive with people?YesNoSometimes

Are they ok with cats?YesNoSometimes

Are you happy for your dog to be around cats?YesNo

Other Behavioural Info (e.g. are there any behavioural issues we should know about etc)

Full name

Address

Home Phone

Mobile

Email

Uses a crate at home?YesNo

If yes, please describe the crate usage. e.g. Just for sleeping, just for eating, always has access to crate throughout the day etc.

I agree that in the case of suspected injury or illness to my dog a Veterinary Surgeon (Vet) may be contacted my dog may be examined, and investigations performed if required (e.g. blood tests, x-rays) and an appropriate course of action will be taken on the advice of the Vet. I understand that where possible any treatments will be undertaken by the dog’s ordinary vet, but maybe at Provanston’s nominated vet, where that’s not possible. I agree to Provanston administering any prescribed treatment the Vet considers advisable. I understand that the veterinary consultation, tests and treatment will be at my own expense. I also give consent for euthanasia should this be recommended on humane grounds by the Vet caring for my dog. I understand that every effort will be made to get in touch with me or my local proxy to discuss an appropriate course of action for my dog and Provanston will endeavour to keep you (or proxy) updated throughout the process. I agree that if my dog has fleas or worms then Provanston will take the dog to the Vet to arrange an appropriate treatment and charge the vets bill to me.

I consent to my dog mixing with dogs from other households whilst boarding at Provanston.

I consent to my dog(s) being fed with (at the same time and place) dogs from other households.

I consent to my dog being fed other foods e.g. If they are not eating their food

I consent to my dog getting treats

I consent for my dog(s) to be walked outside of the home environment or garden

I consent for my dog to be let off a lead outside of the home environment

I consent to my dog(s) being walked within a group of dogs from other households (never exceeds 6 dogs)

I consent to my dog(s) going on day trips (never exceeds 6 dogs)

(Only for customers boarding more than one dog) I consent to my dogs being kept together.

(Only tick if your dog normally uses/sleeps in a crate) I consent to my dog being kept in a crate as part of its normal routine.

Vaccination record (Photograph or document will do)

Day Care Terms & Conditions (Download)

Homeboarding Terms & Conditions (Download)

Please note: If homeboarding, and you have not completed a day care trial, you will need to attach both homeboard and day care terms and conditions.

Name (Print)

Signature (please draw your signature in the box below)

Date

Full day	10hrs	£32
Half day	5hrs	£20
Mini day	3hrs	£14
5 days	10 hrs p/d	£150

1 day (24hrs)	£40
1 week	£270
2 weeks	£520
Any other	Can be discussed

Dog Boarding: Booking and consent form

Owner's Details

Dog details

Vet details

Drop-off details

Feeding Instructions

Command Words

Dog's Character

Owner's local proxy details

Dog Crates

Consent

Addition Documents (required before stay)