Daycare and Homeboarding Form

Name

PrefixFirst NameLast Name

Dogs Name Answer*

Breed of Dog Answer*

Dogs Date of Birth Date*

Neuter Status (Last Heat if Bitch) Answer*

Microchip Number Answer*

Owner Address Answer*

Owner Telephone Number Answer*

Owner Email Address Email*

Proxy (Emergency) Details Name, address, telephone number and email*

Home Vet Details Name, address, telephone and email*

Insurance Details Company, policy number, contact details if no insurance how you will pay for treatment*

Date and Type of Preventative Treatment last used. Worm and Flea*

Medical and Behavioural Details, Current Medication Requirements. The more detail we have the better we can care for your dog*

Current Diet, Frequency and Quantity. Answer*

Exercise Regime at Home. Be honest, this is so we don't over exert your dog*

Any other useful information, such as likes and dislikes. The more details we have the better we can care for your dog and prevent injuries*

Dates / Times required

Please add any relevant information that hasn't already been captured on this form.

Additional information

Please upload a copy of your dogs vaccination card showing microchip number and up to date vaccinations

By completing and signing this form, I confirm that:

I consent, if appropriate, to my dog mixing with dogs from Lilleagle Beagles whilst boarding at Lilleagle Beagles. Your dog will be carefully integrated with the most appropriate beagles matched to them, so they have company. If your dog comes into season, or is not able to be integrated with any of our dogs, then they will be kept with us separately in our room for their safety. They will have increased enrichment activities and interaction if this is the case. They will also have their own dedicated outdoor space which they can access when required.

By completing and signing this form, I confirm that:

I consent to my dog (s) being kept in a closed crate for sleep and rest as part of its normal routine (only if normally uses one). During the day your dog will have free access to the garden and rooms that have alternative provisions too, each dog will have the availability to rest in a bed or crate without doors providing free access on floor level or higher. There are various options. If your dog becomes distressed they will be brought into our bedroom for settling, they will have the option of a crate or bed.

By completing and signing this form:

Image of Terms and Conditions which are also available on website

By completing and signing this form, I confirm that:

Signing the form for consent.

Typed / Electronic Signature

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