DOG BOARDING
Boarding- Walking - Doggie Day Creche

 

4 Station Parade,
Burlington lane,
London
W4 3HD
Tel/Fax: 020 8995 4040
Email: info@dogs-delight.net
Web: www.dogs-delight.net

Please print out at home and bring in to us.

          

Name                                

Home address                         
                                         
                                         

Post code                          

Tel                                                                                                                            

Mobile                                    email  

Dog's name                             dog /bitch           Neutered: Yes /No

Size s/m/l                                D.O.B    

Breed                                      Colour  

Tel while away                                 

Emergency Contact           

Vet name                          

Vet address & tel               

Insurance                                 Yes    No              Name   

                                                                                        Tel       

Microchipped                           Yes    No          Number   

Vaccinated                               Yes    No             Date    

Wormed                                   Yes    No             Date    

Flea treatment                         Yes    No             Type    

Medication                                            Yes    No                 Details     

                                                 

                                                 

Feeding pattern
(number of times a day, Quantity)

Exercise
(How much, How often) 

Lead required in park?           

Does the dog like to play games in the park?                                                            Yes    No

If yes please describe                                                       

Is the dog likely to chase any person/animal in the park?                                       Yes    No

If yes please describe                                                       

Sleeping pattern
( When,  Where? i.e. kitchen, lounge, on the bed?)     

Behaviour
(Dogs level of obedience and commands that the dog responds to) 

How long have you had the dog                                     

Has the dog been boarded overnight before?            Yes    No

Could the dog be placed with another dog?                Yes    No

Could the dog be placed with children?                       Yes    No

Are there any areas on the dog’s body where it does not like to be touched                     Yes    No

If yes please describe                                                      

Where does the dog like to be tickled?                         

Does the dog pull on a lead?                                           Yes    No

Does the dog jump on the furniture?                             Yes    No   Sometimes

Does the dog chew furniture?                                        Yes    No   Sometimes

Does the dog scratch at carpets/doors?                     Yes    No   Sometimes

Does the dog mess or urinate in the home?               Yes    No   Sometimes

If yes please describe                                                       

Does the dog jump at people?                                        Yes    No   Sometimes

Does the dog fight with other dogs?                             Yes    No   Sometimes

If yes please describe                                                       

Is the dog possessive or protective over food/toys?               Yes    No   Sometimes

Is there any person, dog , or situation the dog seems to have a problem with?               Yes    No

If yes please describe                                                       

Are there any restrictions which should be placed on the dog’s activities?                      Yes    No                                

If yes please describe                                                       

Can the dog be left alone for short periods of time?                                                 Yes    No

if yes please describe                                                       
(dogs are never left for more than 4 hours)

Does the dog need any special attention
(ie brushing, eye cleaning etc)                                         

Other info
(Please give other info that would be useful to the carer)        

Items given 

How did you hear about Dog Boarding Etc (Dogs Delight)?

Do you require Grooming while your dog is in care (at additional cost)? Yes    No

(This will be carried out as close to the time of owners return as possible)

Do you require collection and delivery for your dog (at additional cost £10 each way)?

Collection              Yes    No                Describe

Delivery                  Yes    No                 Describe

TRAVEL INFORMATION

Leaving date                 Time                                                                                             

Arrival date                    Time   

       

ADDITIONAL INFORMATION

                                                                 

TERMS AND CONDITIONS OF BOARDING

Please sign to confirm that you understand and accept all terms conditions as described above.

I have read and accepted the terms and conditions

Signature ________________________             Date_______________