DOGUE Country Retreat - Registration

DOGUE Country Retreat - Initial Enquiry Form

Welcome to DOGUE Country Retreat and thank you for your enquiry - we look forward to helping you plan your holiday for when your humans go away... or maybe just some Day Care or Grooming!!!

Our Guest Relations Manager will respond to your enquiry within 48 hours. Of course, if you need to make a last minute booking please call the Retreat directly (02) 4877 1877.

Please Note: As the Retreat is a small and intimate haven, we are not able to cater for all sizes, personality and breed of guest. We focus on small to medium sized guests under 15kg especially at peak times during the year.

Please also read the Terms and Conditions and Pricing on the Retreat web page (below where you clicked to get to this form).
Enquiry Details:
Interested in (select all that apply)*

Dog GroomingDoggy Day Care (not overnight)Dog Boarding (local to the Southern Highlands and/or drop off & pick up direct at Retreat)Dog Boarding (including transport between the Retreat and DOGUE Bondi)
Day Care Date

DayMonthYear
Date
Day Care Timeframe

:HourMinutesAM/PM Option
arrival and pick up at
until :HourMinutesAM/PM Option
Boarding Check-in Date*

DayMonthYear
Date
Boarding Check-out Date*

DayMonthYear
Date
Regular Groomer / Grooming Salon*
In case more intricate grooming details are needed
Regular Groomer's Phone Number*
In case more intricate grooming details are needed
How many doggy guests?*
My human's contact details are:
Full Name*
Email Address*
Mobile Phone*
Work Phone
Optional
Home Phone
Optional
Address*

Street Address

Street Address Line 2 (optional)

SuburbState / Province

Zip / Post Code
GUEST ONE
Guest's Name*
Guest's Breed or Cross Breeds*
Guest's Weight (kg)*
PLEASE NOTE: we can only accommodate guests 15kg and under.
Guest's Date of Birth*

DayMonthYear
Date
Guest's Age*
If under 1 year, please put age in months in the Other Notes field below.
Guest is Desexed / Neutured?*

YesNoNot Sure
Guest is C5 Vaccinated?*

YesNoNot Sure
Has this guest ever displayed any form of aggression toward another dog or human?*

YesNo
Please Detail
Other Notes (optional)
GUEST TWO
Guest'sName*
Guest's Breed or Cross Breeds*
Guest's Date of Birth*

DayMonthYear
Date
Guest'sAge*
If under a year, please put age in months in the Other Notes field below.
Guest's Weight (kg)*
PLEASE NOTE: we can only accommodate guests 15kg and under.
Guest is Desexed / Neutured?*

YesNoNot Sure
Guest is C5 Vaccinated?*

YesNoNot Sure
Has this guest ever displayed any form of aggression toward another dog or human?*

YesNo
Please Detail
Other Notes (optional)
GUEST THREE
Guest's Name*
Guest's Breed or Cross Breeds*
Guest's Date of Birth*

DayMonthYear
Date
Guest's Age*
If under one year, please put age in months in the Other Notes field below.
Guest's Weight (kg)*
PLEASE NOTE: we can only accommodate guests 15kg and under.
Guest is Desexed / Neutured?*

YesNoNot sure
Guest is C5 Vaccinated?*

YesNoNot sure
Has this guest ever displayed any form of aggression toward another dog OR human?*

YesNo
Please Detail
Other Notes (optional)
Have a promo code (specifically for DOGUE Country Retreat)?*

YesNo
Promo Code: *
How did you hear about DOGUE Country Retreat?

FacebookInstagramGoogle searchVeterinary ClinicDOGUE storeWord of MouthOther
We would love to know which one to thank!
Which Vet Clinic recommended us?
We would love to know who to thank!
Which lovely person recommended us?
Thank you so much for taking the time to complete this form!

We will call you soon to discuss your enquiry.
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