Your Details
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Phone Number
*
E-mail
example@example.com
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Emergency Contact Details
Emergency Contact Name (this should ideally be someone who can care for your dog in your absence)
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Phone Number
*
Email
example@example.com
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Your Dogs Details
You will need any insurance, chip and vaccination details to complete this section.
Name
Breed
Date Of Birth
Dogs Sex
Male
Female
Neutered
Yes
No
Microchip Provider and Number
Insurance Provider and Policy Number
Registered Vets Details
Does your dog have regular worming and flea treatment?
*
Fleas / Ticks
Worms
Both
Neither
Is your dog vaccinated? (Please attach an image below or send to info@k9smart.co.uk)
*
Yes
No
Current Vaccination Record (please take a picture or attach file below)
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Does your dog have any ongoing medical conditions? Please provide details
What does your dog eat? Please provide details of feeding times, quantities or any special dietary requirements.
Can your dog be safely fed in the vicinity of other dogs?
Yes
No
Could you briefly describe your dogs character?
Has your dog ever shown signs of aggression to either people or dogs? If so, please give details.
Does your dog have any allergies? If so, please give details.
Does your dog have any fears of phobias? If so, please give details.
Do you think your dog suffers from separation anxiety? If so, please give details
Is your dog fully housetrained?
Is your dog normally allowed on the furniture?
Where does your dog normally sleep?
How obedient is your dog and what commands do you use?
How often and for how long do you walk your dog normally?
Is your dog allowed off lead outside of the property and garden?
Does your dog need grooming and are they happy to be handled to do so?
Is there anything you do NOT want your dog to partake in? e.g. chasing balls, jumping, swimming.
Anything else we should know about?
Add another dog?
*
Yes
No
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2nd Dogs Details
You will need any insurance, chip and vaccination details to complete this section.
Name
Breed
Date Of Birth
Dogs Sex
Male
Female
Neutered
Yes
No
Microchip Provider and Number
Insurance Provider and Policy Number
Registered Vets Details
Does your dog have regular worming and flea treatment?
Fleas / Ticks
Worms
Both
Neither
Is your dog vaccinated? (Please attach an image below or send to info@k9smart.co.uk)
Yes
No
Current Vaccination Record (please take a picture or attach file below)
Browse Files
Cancel
of
Does your dog have any ongoing medical conditions? Please provide details
What does your dog eat? Please provide details of feeding times, quantities or any special dietary requirements.
Can your dog be safely fed in the vicinity of other dogs?
Yes
No
Could you briefly describe your dogs character?
Has your dog ever shown signs of aggression to either people or dogs? If so, please give details.
Does your dog have any allergies? If so, please give details.
Does your dog have any fears of phobias? If so, please give details.
Do you think your dog suffers from separation anxiety? If so, please give details
Is your dog fully housetrained?
Is your dog normally allowed on the furniture?
Where does your dog normally sleep?
How obedient is your dog and what commands do you use?
How often and for how long do you walk your dog normally?
Is your dog allowed off lead outside of the property and garden?
Does your dog need grooming and are they happy to be handled to do so?
Is there anything you do NOT want your dog to partake in? e.g. chasing balls, jumping, swimming.
Anything else we should know about?
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Consent
I consent to my dog(s) boarding with resident dogs and those from other households.
*
Yes
No
I consent to allow my dog(s) to be walked outside of the home environment.
*
Yes
No
I consent to allow my dog(s) to be let off the lead outside of the home environment.
*
Yes
No
I consent to my dog(s) being walked with dogs from other households.
*
Yes
No
I consent to my dog(s) being allowed to join in family activities. e.g. going to the beach, river, shows etc
*
Yes
No
I consent to the use of a crate (Only if the dog is habituated to one already)
*
Yes
No
I consent that my dog(s) may share a room with each other. (For those with multiple dogs staying with us)
*
Yes
No
I consent that my dog may share a crate with another dog when being transported.
*
Yes
No
I consent that my dog(s) may be fed in the vicinity of other dogs (as per previous answer on form.)
*
Yes
No
I consent to allow a veterinary assessment and treatment and the administration of any medicines if required. This includes medication for the treatment of parasites and worms. (where possible we will use your registered vet but if not practicable will contact our own - Cedar Vets, Alton)
*
Yes
No
I understand that the information given above will be used to tailor the care given to my dog(s) whilst staying at K9smart. A copy of the current terms and conditions can be found on the website (https://www.k9smart.co.uk/our-services) and by which signing below I agree to.
Signature
*
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