Lone Wolf Booking & Consent Form
For Returning Customers
Owners Details:
Full Name
*
First Name
Last Name
Address (if different from previous booking)
Street Address
Street Address Line 2
City
County
Post code
E-mail
*
example@example.com
Phone Number
*
Additional Phone Number (Optional)
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Booking Dates
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
Do you need to book additional dates?
Yes
No
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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
More dates to book? You can do so here (leave blank if not required). 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
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Dog #1 Details:
Name
*
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
Have there been any changes to your dogs behaviour, health, medications or feeding regime since their last stay? If none, please state NONE.
*
Are you booking for multiple dogs?
Yes
No
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Dog #2 Details:
Name
*
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
Have there been any changes to your dogs behaviour, health, medications or feeding regime since their last stay? If none, please state NONE.
*
Are you booking for another dog?
Yes
No
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Dog #3 Details:
Name
*
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
Have there been any changes to your dogs behaviour, health, medications or feeding regime since their last stay? If none, please state NONE.
*
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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)
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Veterinary Details (if changed since last stay)
Vets Practice
Contact Number
Vets Address
Street Address
Street Address Line 2
City
County
Postal Code
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Consent
I agree that in the case of suspected injury or illness to my dog (which includes signs of parasitic infection such as fleas or worms) 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. 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
No
Lone Wolf is a mixed boarding facility. I consent to my dog mixing with dogs from other households whilst boarding.
*
Yes
I consent for my dog(s) to be walked outside of the home environment or garden
*
Yes - I give my consent
No - my dog/s must not be walked
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 note that dogs are walked in small groups and they may be walked with dogs from other households (never exceeding 6 dogs per member of staff).
*
Please Select
Yes I consent - walk my dog/s OFF LEAD
No - walk my dog/s ON LEAD
Not applicable - my dog does not go on walks
(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 my 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 my 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 my 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
Type a question
Please Select
Submit
Submit
Should be Empty: