Emergency Contacts

Provide the contact details for 2 different people who you nominate to collect and take responsibility for your pet if you are unable to return collect your pet on the check out date. Please state if your emergency contacts would be willing and available to collect and care for your pet in the unlikely event of a bushfire evacuation.

Emergency contacts must not be yourself, your partner or anyone likely to travel with you in the future.

Your Details
Name*
First Last
Phone Number
Email Address*
Pet's Name & Breed*
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, or your next of kin.

This must be someone different to you and your partner.
Name*
Phone Number*
Relationship
Collect and care confirmation*
Please confirm if your emergency contacts would be willing and available to collect and care for your pet in the unlikely event of a bushfire evacuation.
- No
- Yes
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
Name
Phone Number
Relationship
By signing this, you agree to the above terms and conditions. Thank you and we look forward to giving your pet our best possible holiday experience.*
- I agree to the above terms
Use your finger or mouse to sign your signature as best you can*
Email
This field is for validation purposes and should be left unchanged.

Your Details

Emergency Contact 1

Emergency Contact 2

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