What day would you like your puppy to start?Date* Date Format: DD slash MM slash YYYY Client DetailsFull Name*Spouse/Partners NameAddress* Street Address Town State Postcode Contact DetailsHome PhoneMobile Phone*Email Address* Pet DetailsHow many dogs would you like to book in?1 Pet2 Pets3 Pets4 PetsPet 1Pet Name*Pet Breed*ColourDate of Birth/Age*Approx. 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:Do you use a confinement area/babygate/crate for your pup?*Do you need help with any puppy issues such as inappropriate toileting, biting?*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?*Does your pet have any current medical conditions?*YesNoWhat extra care would you require for these medical conditions?Has your pup had 1, 2 or 3 vaccinations and what date was the most recent booster?*Upload your pup's most recent vac cert showing DUE DATE of next booster* Drop files here or 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 a person 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. 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 pleaseEmailThis field is for validation purposes and should be left unchanged.