Your DetailsName* First Last Phone NumberEmail Address* Pet's Name & Breed*Emergency Contact 1Provide 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. This must be someone different to you and your partner. Name*Phone Number*RelationshipEmergency Contact 2Provide 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 thisNamePhone NumberRelationshipBy 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*NameThis field is for validation purposes and should be left unchanged.