Lone Wolf Booking & Consent Form
For New Customers
Owners Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Post code
E-mail
example@example.com
Phone Number
*
Additional Phone Number (Optional)
Back
Next
Owners local proxy details
(Only to be contacted in an emergency)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Additional Phone Number (Optional)
Back
Next
Dog #1 Details:
Name
*
Sex
*
Male
Female
Age
*
Breed
*
Markings/Colour
*
Microchip number (if known)
Neutered/Spayed
*
Yes
No
Date of last flea treatment
*
-
Day
-
Month
Year
Date
Date of last worming treatment
*
-
Day
-
Month
Year
Date
Date of last vaccinations. PLEASE NOTE: Vaccination card MUST come with the dog for their stay.
*
-
Day
-
Month
Year
Date
Medical conditions, current medication & instructions including any allergies. If none, please state NONE.
*
Do you want to book for additional dogs?
*
Yes
No
Back
Next
Dog #2 Details:
Name
*
Sex
*
Male
Female
Age
*
Breed
*
Markings/Colour
*
Microchip number (if known)
Neutered/Spayed
*
Yes
No
Date of last flea treatment
*
-
Day
-
Month
Year
Date
Date of last worming treatment
*
-
Day
-
Month
Year
Date
Date of last vaccinations. PLEASE NOTE: Vaccination card MUST come with the dog for their stay.
*
-
Day
-
Month
Year
Date
Medical conditions, current medication & instructions including any allergies. If none, please state NONE.
*
Do you want to book for additional dogs?
*
Yes
No
Back
Next
Dog #3 Details:
Name
*
Sex
*
Male
Female
Age
*
Breed
*
Markings/Colour
*
Microchip number (if known)
Neutered/Spayed
*
Yes
No
Date of last flea treatment
*
-
Day
-
Month
Year
Date
Date of last worming treatment
*
-
Day
-
Month
Year
Date
Date of last vaccinations. PLEASE NOTE: Vaccination card MUST come with the dog for their stay.
*
-
Day
-
Month
Year
Date
Medical conditions, current medication & instructions including any allergies. If none, please state NONE.
*
Back
Next
Veterinary Details
Vets Practice
*
Contact Number
*
Vets Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Insurance
Insurance company details: Name of provider, policy number, phone number. If none, please state NONE.
*
Back
Next
Feeding
Food Brand & Type
*
Amount & times per day
*
Any other feeding instructions
Preferences & Character
Please tell me more about your dogs typical daily routine. Include; their usual wake up time, toileting routine, time of walk/s, type and duration/distance, what toys and activities they enjoy the most, grooming requirements, where they usually sleep and what time they usually go to bed
*
Command Words - please list any command words your dog/s are used to ("sit", "stay", "wee wees" etc.)
*
Is there anything your dog/s do not like (e.g. loud noises, sharing toys)?
*
Does your dog/s ever use a crate? If so, when (e.g. for naps with the door open/just overnight? Please note that you will need to supply your own crate if required.
*
Has your dog/s has ever shown any signs of aggression towards people or animals? Please give details of this below
*
Is there anything else you would like to tell us about your dog/s?
Back
Next
Drop off & Collection
To avoid unnecessary disruption to our boarding guests, drop off and collection times are strict. We do not accept drop off and collection outside of the times specified below and for your dogs security, our gates will be locked outside of these set times. If you are running late, please let us know as soon as possible so we can discuss your options with you.
Drop off date
*
-
Day
-
Month
Year
Date
Drop off time
*
Please Select
AM - Between 08:00 - 09:00
PM - Between 17:00 - 18:00
Collection date
*
-
Day
-
Month
Year
Date
Collection time
*
Please Select
AM - Between 08:00 - 09:00
PM - Between 17:00 - 18:00
Back
Next
Consent
I agree that in the case of suspected injury or illness to my dog a Veterinary Surgeon (Vet) may be contacted, my dog may be examined, and investigations performed if required (e.g. blood tests, x-rays) and an appropriate course of action will be taken on the advice of the Vet. This also includes signs of parasitic infection such as fleas or worms. I understand that where possible any treatments will be undertaken by the dog’s ordinary vet, but maybe at the Lone Wolf nominated vet, where that’s not possible. I agree to Lone Wolf administering any prescribed treatment the Vet considers advisable. I understand that the veterinary consultation, tests and treatment will be at my own expense. I also give consent for euthanasia should this be recommended on humane grounds by the Vet caring for my dog. I understand that every effort will be made to get in touch with me or my local proxy to discuss an appropriate course of action for my dog and Lone Wolf will endeavour to keep you (or proxy) updated throughout the process.
*
Yes - I give consent
Multiple dogs from different households will be boarding at the same time as your dog/s. I consent to my dog mixing with dogs from other households whilst boarding at Lone Wolf.
*
Yes - I give consent
I consent for my dog(s) to be walked outside of the home environment or garden.
*
Yes - I give consent
No - my dog must not be walked
Dogs are walked in small groups during their stay. I consent to my dog(s) being walked within a group of dogs from other households (never exceeds 6 dogs per member of staff)
*
Yes - I give consent
I give permission for my dog/s to be walked off lead whilst boarding. I understand that there are additional risks involved with off lead walking and that Lone Wolf will not be held responsible should my dog come to any harm whilst being walked off lead.
*
Please Select
Yes - walk my dog/s OFF LEAD
No - keep my dog/s ON LEAD
(Only for customers boarding more than one dog from the same household) I consent to my dogs sleeping in the same room as each other
Yes - I give consent
No
(Only tick if your dog normally uses/sleeps in a crate)I consent to my dog being kept in a crate as part of its normal routine.
Yes - I give consent
Not applicable
I consent to photographs & videos of my dog/s being used by Lone Wolf for marketing purposes (social media, website, brochures etc)
*
Yes - I give consent
No
Terms & Conditions
All bookings confirmed are subject to Lone Wolf terms and conditions. By submitting the Booking Form, you confirm acceptance of these terms and conditions.
Signature
Signature
*
Name
*
First Name
Last Name
Date
*
-
Day
-
Month
Year
Date
Back
Next
Submit
Submit
Should be Empty: