No availability 1-30 May 2021 How long would you require us to take care of your pet?Start Date* Date Format: DD slash MM slash YYYY End Date* Date Format: DD slash MM slash YYYY Once you have submitted this form, you will receive an email with your pet’s accommodation options and rates.Client DetailsFull Name*Spouse/Partners NameAddress* Street Address Town State Postcode Contact DetailsHome PhoneWork PhoneMobile PhoneEmail Address* Pet DetailsNumber of Pets to board?1 Pet2 Pets3 Pets4 PetsPet 1Pet Name*Pet Breed*ColourDate of Birth/AgeApprox. weight in kilograms*Sex*MaleFemaleDesexed/Neutered*YesNoPet 2Pet Name*Pet Breed*ColourDate of Birth/AgeApprox. weight in kilogramsSexMaleFemaleDesexed/NeuteredYesNoPet 3Pet Name*Pet Breed*ColourDate of Birth/AgeApprox. weight in kilogramsSexMaleFemaleDesexed/NeuteredYesNoPet 4Pet Name*Pet Breed*ColourDate of Birth/AgeApprox. weight in kilogramsSexMaleFemaleDesexed/NeuteredYesNoDoes your pet have any special requirements? If so please detail:Is your pet sociable with other pets or prefers to be alone?If you have more than one pet, would you like them boarded separately or together?Where does your pet normally sleep?Does your pet have any behavioural issues i.e. anything that causes aggression? Wary of people? Escape artist?How many positive play experiences with different dogs did your dog have before 16 weeks of age? Do not include other dogs on your property.How many positive play experiences with different dogs did your dog have before 6 months of age?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?Has your pet boarded before?YesNoDoes your pet have any current medical conditions?YesNoWhat extra care would you require for these medical conditions?Has your pet had vaccinations for boarding kennels in the past 12 months?Current vaccination certificates showing (minimum C5 for dogs, F3 for cats) are required for bookings to be confirmed.Do you have any additional information you would like to supply us?How did you hear about Wingham Pet Motel? If you were recommended by a friend or vet, what is their name?Emergency Contact DetailsProvide 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.NamePhoneEmail Address Terms and Conditions of BoardingTerms and Conditions of Boarding* I agree to the Terms and Conditions of Boarding * No spam or SEO offers pleaseCommentsThis field is for validation purposes and should be left unchanged.
