DOGUE Country Retreat - Expression of Interest

GUEST(S) DETAILS

Please fill out a little more about yourself and/or other guests who would like to stay at DOGUE Country Retreat (one per guest please)

How many guests including yourself?*

GUEST ONE

Guest Name*

Guest Breed or Cross Breeds*

Guest Date of Birth*

Date

Guest Age*

Guest Weight*

PLEASE NOTE: we can only accommodate guests 15kg and under.

Guest Height*

Guest Gender*

MaleFemale

Guest is desexed / neutured?*

YesNoNot sure

Microchip Number*

Please check the boxes below as they apply to you

PERSONALITY

How would you describe yourself (tick all that apply)*

SOCIABILITY

How social are you*

I LOVE to play with other dogs - I'm super playful!!!I sometimes like to play with other dogsI don't play, but I'm happy to be around other dogs!Not comfortable at all with other dogs

Please detail

SLEEPING

Where do you normally sleep*

Outside and/or in a kennelOn your own bedOn your human's bedIn a crate

TRAINING BACKGROUND

Have you attended puppy school*

YesNo

Have you attended any form of obedience training*

YesNo

How did you go with training*

PassFailN/A

What basic instructions do you follow?*

ComeSitStayOthers (please specify below)

Please specify Others

Do you walk well on a lead?*

Are you good at recall (off lead)?*

Do you respond to treats?*

TOILET TRAINING

I am ...*

Not housebroken and can have accidentsUsing puppy (potty) padsTrained to go outside

AWAY FROM HOME EXPERIENCE

Have attended day care before?*

YesNo

Where did you go? Did you enjoy day care experience? Please expand

Have attended a boarding facility or home before?*

YesNo

Where did you go? Did you enjoy your boarding experience? Please expand

BARKING

I bark when ...*

CHEWING

I chew ...*

AGGRESSION

I can be aggressive ...*

Please answer the following questions and provide any details...

Have you ever bitten a person or another dog?*

YesNo

Please provide details

Have you ever been attacked by another dog?*

YesNo

Please provide details

Do you jump or climb fences?*

YesNo

Please provide details

Do you like to dig your way out?*

YesNo

Please provide details

Please provide details if you experience any of the following...

Separation anxiety

Fear of loud noises such as thunder or fireworks

Particular parts of your body that you don’t like to have touched. Please state which areas

Anything else you would like us to know regarding your behaviour ?

VACCINATION AND PARASITE PREVENTION DETAILS

Date of last Canine C3 or DHP Vaccination*

Date

Date of last Canine Cough or KC Vaccination*

Date

(Please email a photo or copy of your C5 vaccination certificate or equivalent C5 vet certification to retreat@dogue.com.au)

Please specify type and date of flea/tick product last applied*

Date next flea/tick product due*

Date

Supplied by owner?

YesNo

Please specify type and date of next due heartworm treatment*

Supplied by owner?

YesNo

(Flea & tick treatment and vaccinations must be up to date prior to arrival. Additional treatments provided by DOGUE Country Retreat will be at carer"s cost)

MEDICATION DETAILS

Medication / Treatment required*

YesNo

Please list each medication, what it is used to treat, the dosage, how many times to administer daily, and how you administer it? (eg in a piece of cheese, etc.)

Does your dog have any current health problems, allergies or past injuries?*

YesNo

Please Detail

DINING DETAILS

What would you like to dine on during your stay? (Please refer to Dining Menu on our website. Some options will incur additional charges.)*

Retreat's Man's Best Lamb grain-free kibble, with homemade chicken and veg broth topper (no extra charge)BYO: Carer's own selection of food (additional $10 per day)Other - please specify in box below

Please advise how often you eat and what is your portion size. Provide any other information regarding eating or treats.*

Is there anything else you would like us to know ? Please Detail

GUEST TWO

Guest Name*

Guest Breed or Cross Breeds*

Guest Date of Birth*

Date

Guest Age*

Guest Weight*

PLEASE NOTE: we can only accommodate guests 15kg and under.

Guest Height*

Guest Gender*

MaleFemale

Guest is desexed / neutured?*

YesNoNot Sure

Microchip Number*

Please check the boxes below as they apply to you

PERSONALITY

How would you describe yourself (tick all that apply)*

SOCIABILITY

How social are you*

I like to play with other dogs - YESI like to play with other dogs - NOI like to play with other dogs - SOMETIMESNot comfortable at all with other dogs

SLEEPING

Where do you normally sleep*

Outside and/or in kennelOn your own bedOn your humans bedIn a crate

TRAINING BACKGROUND

Have you attended puppy school*

YesNo

Have you attended any form of obedience training*

YesNo

How did you go with training*

PassFail

What basic instructions do you follow?*

ComeSitStayOthers (please specify below)

Please Specify

Do you walk well on a lead?*

Are you good at recall (off lead)?*

Do you respond to treats?*

TOILET TRAINING

I am ...*

Not housebroken and have accidentsTrained to go outsideUsing puppy (potty) pads

AWAY FROM HOME EXPERIENCE

Attended day care before*

YesNo

Attended a boarding facility or home before*

YesNo

Did you enjoy your boarding or day care experience ? Please expand

BARKING

I bark when ...*

CHEWING

I chew ...*

AGGRESSION

I can be aggressive ...*

Please answer the following questions and provide any details...

Have you ever bitten a person or another dog*

YesNo

Please provide details

Have you ever been attacked by another dog*

YesNo

Please provide details

Do you jump or climb fences*

YesNo

Please provide details

Do you like to dig your way out*

YesNo

Please provide details

Please provide details if you experience any of the following...

Separation anxiety

Fear of loud noises such as thunder or fireworks

Particular parts of your body that you don’t like to have touched. Please state which areas

Anything else you would like us to know regarding your behaviour?

VACCINATION AND PARASITE PREVENTION DETAILS

Date of last Canine C3 or DHP Vaccination*

Date

Date of last Canine Cough or KC VaccinationDate of last Canine Cough Vaccine*

Date

(Please email a photo or copy of your C5 vaccination certificate or equivalent C5 vet certification to retreat@dogue.com.au)

Please specify type and date of flea/tick product last applied*

Date next flea/tick product due*

Date

Supplied by owner?

YesNo

Please specify type and date of next due heartworm treatment*

Supplied by owner?

YesNo

(Flea & tick treatment and vaccinations must be up to date prior to arrival. Additional treatments provided by DOGUE Country Retreat will be at carer"s cost)

MEDICATION DETAILS

Additional Medication*

YesNo

Please list each medication, what it is used to treat, the dosage, how many times to administer daily, and how you administer it? ( eg in a piece of cheese, etc.)

Do you have any current health problems, allergies or past injuries?*

YesNo

Please Detail

DINING DETAILS

What would you like to dine on during your stay ? (Please refer to our Dining Menu on our website. Some options will incur additional charges.)*

Retreat's Man's Best Lamb grain-free kibble, with homemade chicken and veg broth topper (no extra charge)BYO: Carer's own selection of food (additional $10 per day)Other - please specify in space below

Please advise how often you eat at home and what is your portion size? Please provide any other information about eating or treats.*

Is there anything else you would like us to know? Please Detail

GUEST THREE

Guest Name*

Guest Breed or Cross Breeds*

Guest Birthday*

Date

Guest age*

Guest height*

Guest weight*

PLEASE NOTE: we can only accommodate guests 15kg and under.

Guest gender*

MaleFemale

Guest is desexed / neutured?*

YesNoNot Sure

Microchip Number*

Please check the boxes below as they apply to you

PERSONALITY

How would you describe yourself (tick all that apply)*

SOCIABILITY

How social are you*

I like to play with other dogs - YESI like to play with other dogs - NOI like to play with other dogs - SOMETIMESNot comfortable at all with other dogs

SLEEPING

Where do you normally sleep*

Outside and/or in kennelOn your bedOn your humans bedIn a crate

TRAINING BACKGROUND

Have you attended puppy school*

YesNo

Have you attended any form of obedience training*

YesNo

How did you go with training*

PassFailN/A

What basic instructions do you follow?*

ComeSitStayOthers (please specify below)

Please Specify

Do you walk well on a lead?*

Are you good at recall (off lead)?*

Do you respond to treats?*

TOILET TRAINING

I am ...*

Not housebroken and have accidentsI am trained to go outsideUsing puppy (potty) pads

AWAY FROM HOME EXPERIENCE

Attended day care before*

YesNo

Attended a boarding facility or home before*

YesNo

Did you enjoy your boarding or daycare experience ? Please expand

BARKING

I bark when ...*

CHEWING

I chew ...*

AGGRESSION

I can be aggressive ...*

Please answer the following questions and provide any details...

Have you ever bitten a person or another dog*

YesNo

Please provide details

Have you ever been attacked by another dog*

YesNo

Please provide details

Do you jump or climb fences*

YesNo

Please provide details

Do you like to dig your way out*

YesNo

Please provide details

Please provide details if you have any of the following...

Separation anxiety

Fear of loud noises such as thunder or fireworks

Particular parts of your body that you don’t like to have touched. Please state which areas

Is there anything else you would like us to know with regards to your behaviour?

VACCINATION, MEDICATION AND DINING DETAILS

Date of last Canine C3 or DHP Vaccination*

Date

Date of last Canine Cough or KC VaccinationDate of last Canine Cough Vaccine*

Date

(Please email a photo or copy of your C5 vaccination certificate or equivalent C5 vet certification to retreat@dogue.com.au)

Please specify type and date of flea/tick product last applied*

Date next flea/tick product due*

Date

Supplied by owner?

YesNo

Please specify type and date of next due heartworm treatment*

Supplied by owner?

YesNo

(Flea & tick treatment and vaccinations must be up to date prior to arrival. Additional treatments provided by DOGUE Country Retreat will be at carer"s cost)

Additional Medication*

YesNo

Please list each medication, what it is used to treat, the dosage, how many times to administer daily, and how you give it to the dog (in a piece of cheese, etc.)

Does your dog have any current health problems, allergies or past injuries?*

YesNo

Please Detail

DINING DETAILS

What would you like to dine on during your stay? (Please refer to Dining Menu on our website. Some options will incur additional charges.)*

Retreat's Man's Best Lamb grain-free kibble, with homemade chicken and veg broth topper (no extra charge)BYO: Carer's own selection of food (additional $10 per day)Other - please specify in box below

Please advise how often you eat and what is your portion size. Provide any other information regarding eating or treats.*

Is there anything else you would like us to know ? Please Detail

EXTRA PAMPERING AVAILABLE

At DOGUE Country Retreat we also offer a range of specialised services to suit every guest's needs including weight loss programs, nutritional advice and, of course, extra pampering in the day spa.

A grooming appointment is always a lovely way to end a holiday at the Retreat and to go home feeling fresh and looking your best!

Additional Services*

Wash and Blow Dry (including a nail trim)Wash and Tidy (tidy face, feet & hygiene area and including a nail trim)Wash and Body Clip (including a nail trim)Nutrition / Weight Loss ProgramNo Additional Services Needed

Please specify condition of coat and style of clip you would like such as Teddy Bear, Breed Specific with a Skirt, etc. We need to know length and shape. Also, if we haven't groomed them before, please either attach photos below or email photos of them freshly groomed so we can see your preference (retreat@dogue.com.au). Thank you!*

Freshly Groomed Front Photo(s)

Browse Files

Front Photo(s)

Freshly Groomed Side Photo(s)

Browse Files

Side Photo(s)

Freshly Groomed Behind Photo(s)

Browse Files

Behind Photo(s)

My regular Groomer / Grooming salon is*

In case more intricate grooming details are needed

Groomer's Phone Number*

In case more intricate grooming details are needed

Are you a regular client of any DOGUE stores or the Retreat? Please specify which store and on what basis?

Which store(s)

Which of these are you ...

Regular Grooming CustomerRegular Day Care CustomerIn-Store Retail CustomerOnline Retail Customer

If you are not a regular attendee to grooming or day care, we may organise a time for you come in for a behavioural assessment – this will cost the equivalent of a half day in day care ($25).

How did you hear about the DOGUE Country Retreat?*

Please let us know who recommended us:

First NameLast Name