HAYFIELDS DOG HOTEL BOOKING FORM

Boarding dates:

Arrival……………………. Departure……………………..

Owner details:

Name……….……………………………………………………

Address………………………………….………………………

………………………………………………………………………………………………

Home telephone…………………………

Work telephone…………………………

Mobile telephone……………………….

Email …………………………………..

Veterinary Surgeon’s name and contact…………………………………………………….

Dog (s) Details:

Name (s)…………………………………………………………………..

Breed/ Description ……………………………………………..

Age .....................................................

Male/ Female ……………………………………………………….

Neutered yes/ no…………………………………………….

Last Heat date…………… ………………………………………

Microchip number……………………………………………

Insurance yes / no………………… ……………………………

Insurance 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..…………………………..… ………………………………………………………………………………………………...…………………………………………………………………………………………………

Please tick to confirm that you consent for any dogs from your household only to be housed in the same room. If separate rooms are required please book accordingly.               [    ]

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 the departure date. Each part of a day is charged as a full day. Cancellations fees are applicable, please see full terms and conditions on our website for details.

I agree to the terms and conditions.

Signed………………………………Dated……………