Katie's K9's New Client Onboarding
Thanks for the interset in our services. Please complete this form with as much information as possible. Thank you.
Email
*
example@example.com
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Owner Details
Full Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: 00000 000000.
Alternative Phone Number
*
Please enter a valid phone number.
Format: 00000 000000.
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Emergency Contacts
1st Emergency Contact Name
*
1st Emergency Contact Relationship
*
1st Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you wish to add another Emergency Contact as back-up?
*
Yes
No
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2nd Emergency Contact
2nd Emergency Contact Relationship
2nd Emergency Contact Name
2nd Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Vets Details
Vet Name
*
Vets Phone Number
Please enter a valid phone number.
Format: 00000 000000.
Address
*
Street Address Line 1
Street Address Line 2
Town
State
Postcode
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
If you are adding two dogs details, please confirm that they are both under the above Vets.
*
Yes - both dogs are under the same vet
No - dogs under diffident vets
N / A
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Dogs Details
Please add a photo of your dog.
*
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Dogs Name
*
Breed
*
Sex
*
Male
Female
Neutered / Spayed
*
Yes
No
Date of Birth (approx is fine)
*
-
Month
-
Day
Year
Date
Is your dog Microchipped?
*
Yes
No
Microchip Number
Collar / Harness Type
*
Core Vaccinations up to date?
*
Yes
No
Last Core Vaccination Date
*
-
Month
-
Day
Year
Date
Next Due Core Vaccination Date
*
-
Month
-
Day
Year
Date
Vaccination Evidence
*
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Kennel Cough Vaccinated?
*
Yes
No
Is your dog flea & wormed?
*
Yes
No
Date of Last Flea Treatment
*
-
Month
-
Day
Year
Date
Date of Last Worm Treatment
*
-
Month
-
Day
Year
Date
Date of Last Tick Treatment
-
Month
-
Day
Year
Date
Any illness or Injury we need to know about prior to daycare or boarding? Please give specific information if you require us to administer medication.
*
What is your dogs feeding regime, food type & feeding Instructions? Please include any intolerances so that we can account for enrichment activities and treats.
*
Has your dog ever shown aggression to other dogs?
*
Yes
No
Sometimes
Has your dog ever shown aggression to people?
*
Yes
No
Sometimes
Would you describe your dog as reactive?
*
Yes
No
Sometimes
Is your dog possessive over food / toys etc?
*
Yes
No
Sometimes
Does your dog use a create?
*
Yes
No
Sometimes
Do you need to add another dogs details?
*
Yes
No
Is your dog insured?
*
Yes
No
Insurance Document.
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2nd Dogs Details
Please add a photo of your dog.
*
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Dogs Name
*
Breed
*
Sex
*
Male
Female
Neutered / Spayed
*
Yes
No
Date of Birth
*
-
Month
-
Day
Year
Date
Is your dog Microchipped?
Yes
No
Microchip Number
Collar / Harness Type
*
Core Vaccinations up to date?
*
Yes
No
Last Core Vaccination Date
*
-
Month
-
Day
Year
Date
Next Due Core Vaccination Date
*
-
Month
-
Day
Year
Date
Vaccination Evidence
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Kennel Cough Vaccinated?
*
Yes
No
Is your dog flea & wormed?
*
Yes
No
Date of Last Flea Treatment
*
-
Month
-
Day
Year
Date
Date of Last Worm Treatment
*
-
Month
-
Day
Year
Date
Date of Last Tick Treatment
-
Month
-
Day
Year
Date
Any illness or Injury we need to know about prior to daycare or boarding? Please give specific information if you require us to administer medication.
*
What is your dogs feeding regime, food type & feeding Instructions? Please include any intolerances so that we can account for enrichment activities and treats.
*
Has your dog ever shown aggression to other dogs?
*
Yes
No
Sometimes
Has your dog ever shown aggression to people?
*
Yes
No
Sometimes
Would you describe your dog as reactive?
*
Yes
No
Sometimes
Is your dog possessive over food / toys etc?
*
Yes
No
Sometimes
Does your dog use a create?
*
Yes
No
Sometimes
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Consents
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. I understand that where possible any treatments will be undertaken by the dog’s ordinary vet, but maybe at the Katies K9 Retreat nominated vet, where that’s not possible. I agree to Katies K9 Retreat 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 emergency contact to discuss an appropriate course of action for my dog and Katies K9 Retreat will endeavor to keep you (or emergency contact) updated throughout the process. I agree that if my dog has fleas or worms then Katies K9 Retreat will take the dog to the Vet to arrange an appropriate treatment and charge the vets bill to me.
*
Yes
No
I consent to my dog mixing with dogs from other households whilst boarding at Katies K9 Retreat.
*
Yes
No
I consent to my dog(s) being fed with (at the same time and place) dogs from the same household
*
Yes
No
I consent for my dog(s) to be walked outside of the home environment or garden
*
Yes
No
I consent for my dog to be let off a lead outside of the home environment
*
Yes
No
I consent to my dog(s) being walked within a group of dogs from other households (never exceeds 5 dogs)
*
Yes
No
I/we give Katie’s K9 Retreat permission to involve my dog in enrichment activities. These activities may include but are not limited to: - LickiMats Stuffed Kongs (with diet appropriate contents) Snuffle Mats (with diet appropriate treats) Ball Games Continuation of training (based on owners’ instructions) Tug Toys Scent Games Agility Activities Puzzle Toys Using Treats (with diet appropriate contents)
*
Yes
No
(Only for customers boarding more than one dog) I consent to my dogs being kept together.
*
Yes
No
N/A
I consent to my dog/s to be separated if necessary.
*
Yes
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
No
N/A
By booking services with Katie’s K9 Retreat for boarding or dog walking, you agree that if your dog becomes ill it may require transport to a veterinary isolation (ISO) facility off-site, and that any costs for this are the responsibility of the owner. You also acknowledge that all dogs will receive two walks per day (minimum 20 minutes each), or equivalent alternative enrichment if exercise is restricted for veterinary or age restricted reasons (see young dog policy). By proceeding, you confirm understanding and consent to these conditions.
*
Yes
No
Dogs attending Katie’s K9 Retreat are not required to be neutered; however, owners must declare their dog’s neutering status at the time of registration. Female dogs in season are not permitted to attend or remain in daycare or boarding. If a female dog comes into season while in our care, the owner or the nominated emergency contact will be required to collect the dog immediately. Owners must ensure that an emergency contact is available and able to collect their dog if required.
*
Yes - I agree
No - I don't agree
Finally - thanks for taking the time to complete the form. Please use this space to let us know any other information we might need to know that has not been covered above.
Signature - Please sign to accept our terms & conditions.
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