Client Questionnaire

  • Details About You

  • Details About Your Pet

  • Veterinary Care

  • Other Details

  • Anything that causes aggression e.g. biting, other dogs, wary of men/women? Escape artist?
  • Do you give your permission for your dog to:

  • Food

  • Medical

    If we have not seen proof of vaccinations before check in we may not be able to board your pet.
  • Max. file size: 16 MB.
  • Max. file size: 16 MB.
  • Max. file size: 16 MB.
  • If yes, please state
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • Within our hours 8am-11am & 4pm-6pm
    NOTE: If your dog has not boarded with us before, they need to be checked in during a morning time slot. This enables them to become familiar with their new environment and have some fun before they are tucked up for the night.
  • DD slash MM slash YYYY
  • Within our hours 8am-11am & 4pm-6pm
  • Emergency Contact 1

    Provide the contact details for someone who you nominate to collect and take responsibility for your dog if you are unable to return collect your dog on the check out date
  • Emergency Contact 2

    Provide contact details for someone who you nominate to collect and provide temporary care your dog in the unlikely event the Pet Motel needed to evacuate. If you are unable to provide this, you agree to permit the Pet Motel to source emergency accommodation for your pet and you agree to pay any additional fees that may be incurred for this
  • Permissions

  • Terms and Conditions of Boarding *
  • Use your finger or mouse to sign your signature as best you can
  • DD slash MM slash YYYY