Booking Enquiry and Questionnaire

Details About You

Name*

First Last

Email*

Details About Your Pet

Number of Pets to board?

Pet 1

Pet Name*

Pet Breed*

Colour

Date of Birth/Age*

Approx. weight in kilograms*

Sex*

Male
Female

Desexed/Neutered*

Yes
No

Pet 2

Pet Name

Pet Breed

Colour

Date of Birth/Age

Approx. weight in kilograms

Sex

Male
Female

Desexed/Neutered

Yes
No

Pet 3

Pet Name

Pet Breed

Colour

Date of Birth/Age

Approx. weight in kilograms

Sex

Male
Female

Desexed/Neutered

Yes
No

Pet 4

Pet Name

Pet Breed

Colour

Approx. weight in kilograms

Date of Birth/Age

Sex

Male
Female

Desexed/Neutered

Yes
No

How long would you require us to take care of your pet? (Limited availability in May and Oct/Nov check our annual leave dates at the top of this form)

Start Date

End Date

Veterinary Care

Name of Veterinary Practice

Contact Number

Do you give your permission for us to talk with your vet?

Other Details

Does your pet have any special requirements? If so please detail:

Is your pet sociable with other pets or prefers to be alone?

Has your dog been crate trained? If yes where is crate located and when is it used?

How many positive play experiences with different dogs did your dog have before 16 wks of age?of age? Do not include dogs from litter or your household

Any negative experiences with other dogs and if so, please detail the incident and breed of the other dog(s). What age was your dog when this occurred?

Location where your dog sleeps? ie on your bed, in a crate, in the garage

Does your pet have any behavioural issues, fears or phobias e.g. storms, thunder?

Anything that causes aggression e.g. biting, other dogs, wary of men/women? Escape artist?

What are your pet’s favourite activities?

Has your pet boarded before?*

Yes
No

Do you give your permission for your dog to:

Be carefully mixed with other dogs during supervised free running time?

Yes
No

Go on leashed walks outside of the kennel enclosure – inside our home and home gardens?

Yes
No

Is your pet house trained?

Yes
No

Food

Any dietary requirements and or food intolerances?

Is it OK to feed your pet:

Raw meaty bones
Chicken necks
Kongs
Other puzzles

What are your pets favourite treats?

Medical

. If you don't have your certificate, just upload a photo of your pet and have your vet email us your certificate showing DUE DATE of next booster. If we can not get proof of vaccinations before check in we will not be able to board your pet.

Vaccination Certificates*

Max. file size: 16 MB.

Does your pet have any current medical conditions?

If yes, please state

What date was your pet last given a gastro intestinal wormer?

Please advise us of your approximate check in time

Within our hours 8am-10.45am
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.

Please advise us of your approximate check out time

Within our hours 8am-11am & 4pm-6pm

Any other comments, requirements or information:

How did you hear about Wingham Pet Motel? If you were recommended by a friend or vet, what is their name?

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

Name*

Phone*

Relationship*

Emergency Contact 2

Provide contact details for a back up emergency contact (NOT YOURSELF, YOUR PARTNER or anyone you'll be travelling with). They do not have to be local. They can be your next of kin.

Name

Phone

Relationship

Permissions

May we have your permission to send you occasional updates on our services?*

Yes
No

Would you like to see photos of your pet on Facebook while you’re away?*

Yes
No

May we post photos of your pet on Facebook page at www.facebook.com/WinghamNSWPetMotel and use them for publicity in media and for training purposes?*

Yes
No

Terms and Conditions of Boarding

By signing this form, you, the owner/guardian of the above pet(s), give permission for Wingham Pet Motel to care for your pet and to make all decisions about your pet during their stay.
You have read and agree to abide by the rules at wwww.winghampetmotel.com.au/faq
You give your permission for your vet(s) to release all information about your animal(s) to Wingham Pet Motel, now and in the future.
While all precautions and care will be taken, you agree to pay for all veterinary & any other expenses (such as administering medication and transport to vets) incurred during boarding. In an emergency, we would take your dog to the nearest vet without notifying you or your emergency contacts. If medical intervention is required, you agree to permit our vet to perform the highest level of emergency veterinary care.
Dogs must have proof of at least 90% effective tick/flea preventatives. You give us permission to administer tick or flea preventatives if necessary, & add this to your bill. Our costs for these and other extra services are posted in the office.
Cats must be on regular Bravecto spot on flea and tick treatment. Any evidence of fleas on check in will require your cat to be placed in our quarantine which will incur additional fees.
Payment is per day so your pet can be checked in/collected any time of that day (within our hours) and your rate will be the same. Payment is required on check in.
We require all prescribed medication to be in the original vet or pharmacist packaging.