DSPCA Pet Boarding Questionnaire

DSPCA Boarding Intake Form
Thank you for choosing the DSPCA Pet Hotel.

This form helps us understand your pet's medical, behavioural, and care requirements so we can provide the best possible experience during their stay.
Please note:

In the event that your pet requires veterinary care while boarding with us, we will not use your regular/local vet for medical care. All treatment will be carried out by our partner veterinary providers.
IMPORTANT

If your pet has any ailments or is over 10 years old, we will require a copy of your pet’s up-to-date medical history before confirming any booking.
Owner information
First name*
Last name*
Phone number (primary)*

PrefixPhone Number
Email address*
example@example.com
Address*
Eircode*
Secondary owner information
First name*
Last name*
Phone number (primary)*

PrefixPhone Number
Email address
example@example.com
Address
Eircode
Emergency contact information
IMPORTANT

This should be someone you’ve authorised to make decisions regarding your pet(s) in the event that we’re unable to reach you.
First name*
Last name*
Phone number (Primary)*

PrefixPhone Number

Feeding instructions
Hypoallergenic*

YesNo
Please provide feeding instructions:
Incontinence or toileting Support
Needed?*

YesNo
If Yes - please describe

Emergency medical consent
If your pet becomes ill or injured, do you give permission for us to seek veterinary treatment on your behalf?*

YES - I authorise emergency careNO - I do NOT authorise emergency care (we may not be able to board your pet)
Spending limit for emergency medical treatment:*

€0 - €500€500-€1,000€1,000-€5,000No limit - Treat as necessary
Please read and confirm the DSPCA Pet Hotel and Daycare Terms and Conditions here: www.dspcapethotel.ie/terms-and-conditions*

I have read and agree to the Terms and Conditions of DSPCA Pet Boarding & Daycare
Should be Empty: