Dog Day Care & Boarding - Q&A
Your details & pets details - Required in advance of bookings
Your Information
This form can be completed in advance of a confirmed booking date (OR) during an initial meet in person beforehand
Your Name
First Name
Last Name
Email Address
example@example.com
Contact Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
Town
City
Postal Code
For visits to your own home: Please detail general instructions for access to your property. If preferred - You can omit this detail and provide in person or on a call for security purposes.
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact - Email Address
example@example.com
Can you give any details regarding your emergency contact that will help - Should they need to be reached. Include details of how far away they live from your home and if they are NOT available during certain times during the day or evening.
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Pet Information
Enter your 1st dogs details. Then click ADD to confirm your 1st dogs details. If you have 2 dogs - Click ADD again. Enter the 2nd dogs details. Then click ADD again to also confirm the 2nd dogs details.
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Have your dog or dogs been Microchipped?
*
YES
NO
Is your dog or dogs currently insured with a pet insurance plan?
*
YES
NO
Can you provide (1) The name of your pet insurer (2) Policy Number (3) Plan Type (4) Plan Expiry Date (5) General Contact Number
Is your dog or dogs licensed in IRE with you as the registered owner?
*
YES
NO
Is your dog or dogs up to date with vaccinations?
*
YES
NO
Does your dog or dogs receive regular flea / tick & worming treatments?
*
YES
NO
FOR DOG BOARDING ONLY - AT OUR OWN HOME: Is your dog under 8 kilos in weight?
YES
NO
FOR DOG BOARDING ONLY - AT OUR OWN HOME: Is your dog excessively barky / highly anxious?
YES
NO
FOR DOG BOARDING ONLY - AT OUR OWN HOME: Does your dog get on well with other dogs and enjoy being in another dogs company for long periods of time?
YES
NO
FOR DOG BOARDING ONLY - AT OUR OWN HOME: Is your dog fully house trained?
YES
NO
Can you detail below any behavioural issues with your dog/dogs. Include any details such as Aggressive behaviour, Recall issues, Eating disorders, Nervous temperaments, Noise issues, Escape tendencies or any issues in public when walking. Also include any issues to be aware of in the home or garden.
Does your dog or dogs have any current or historic medical issues that need to be noted, or could re-occur?
Does your dog or dogs currently need to take or have administered any forms of general Medication? Can you describe what these medications are and how they are administered. Can you also detail how often the medication is used and if medication needs to be administered at regular times.
Veterinary Information
Vets Name
Vets Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Vets Address
Street Address
Street Address Line 2
Town
City
Postal Code
Can you confirm if you are happy for your dog/dogs to be taken to the vet by myself if the need arose in the case of a severe emergency, and you are not available at short notice to attend to the issue?
*
YES
NO
If YES to above - Are you acceptable to an additional emergency charge of €23.00 per 30 minutes of time needed for me to assist with the transportation and time spent with the vet for inspection?
YES
NO
If your vet is further than a distance of 3 km from your own home - Do you agree to any associated costs for milage reimbursement at - €1.00 per additional km travelled?
YES
NO
Can you confirm that you will contact the vet personally at the earliest convenience, to advice of the situation, and agree that any vet charges or associated costs will be paid directly by yourself?
*
YES
NO
Please confirm, if the dog or dogs need to be left with the vet, and/or - My personal time at the vet practice has exceeded 1 hour, that you agree, I will leave your dog or dogs in the trust of your vet until you can arrange collection.
YES
NO
Can you detail your dog or dogs feeding needs - What you give them to eat / how often and roughly what times they get fed during the day. Also include details of treats you give and how often / how many a day.
If your dog or dogs are not eating their regular food for any reason during visits to your home or dog boarding - Can you detail here any additional foods that can be given that usually entice them to eat?
Are there any food types that should NEVER be given to your dog or dogs?
Can you list any key words that your dog or dogs acknowledge and generally respond to - Such as Walkies, Sit, Stay and so on..
Please detail below, any further notes that you feel may be useful or relevant regarding your dog or dogs. Include any details of relevance for the services needed and any special needs or points to note during the time I spend either at your own home for call in services (OR) for dog boarding at our own home.
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Book an initial 'meet and greet' appointment (Optional) - To discuss services or needs
Please choose one.
At your own home services - Dog day care
Possibly to use both service types
Dog Boarding - At our own home
Other
Please select a preferred date and time of meet. From 9.30am to 4.30pm (OR) 7.30pm to 8.30pm (Monday to Friday) Saturdays - From 10.30am to 4.00pm
Date
*
-
Month
-
Day
Year
Date
Please select one option below.
Submit
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