670 Bulga Rd, Wingham NSW 2429

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Personalised care for your precious pet

Home
Booking Enquiry
Puppies
About Us
FAQs
Contact

Puppy Playdays Booking Enquiry

What day would you like your puppy to start?
Date*
Date Format: DD slash MM slash YYYY
Client Details
Full Name*
Spouse/Partners Name
Address*
Street Address Town State Postcode
Contact Details
Home Phone
Mobile Phone*
Email Address*
Pet Details
How many dogs would you like to book in?
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
Date of Birth/Age
Approx. weight in kilograms
Sex
- Male
- Female
Desexed/Neutered
- Yes
- No
Does 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?*
- Yes
- No
What 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 Details
Provide 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.
Name
Phone
Email Address
Terms and Conditions of Boarding
Terms and Conditions of Boarding*
- I agree to the Terms and Conditions of Boarding *
No spam or SEO offers please
Comments
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