Boarding & Day Care Booking Form
Booking type
Please select your type of booking
*
Overnight Boarding
Day Care
Owner Details
Your Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Email Address
example@example.com
Address
*
Street Address
Street Address Line 2
City
Postcode
Postcode
Emergency Contact
This individual must be local to Outwood - Bark & Board (Located within 1 hours drive) - They must be on hand to collect your pet in the event of an emergency and/or act as a point of contact/proxy in the owners absence.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Emergency Contact Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Postcode
Postcode
Reservation Details
AM - Drop-off/Collection times: 08:00 to 10:00 & PM - Drop-off/Collection times: 15:00 to 18:00 FOR DAY CARE BOOKINGS - PLEASE PUT TODAYS DATE IN THE CHECK-IN/OUT FIELDS
Check In Date & Time
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Check Out Date & Time
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
FOR DAY CARE - Please specify the day(s) you wish to book and the frequency.
Your Dog's Details
Please complete one entry per pet
*
Health Details
Any medical conditions, recent injuries or illnesses?
*
Details of any medication including dosage etc.
*
Up to date with all vaccinations?
*
Yes
No
Has your pet been treated for worms and parasites within the last month?
*
Yes
No
Please provide details of the worming/flea treatment, including any allergies.
*
Please provide a copy of your pets vaccination card.
*
Browse Files
Drag and drop files here
Choose a file
A clear and legible photo of your vaccination card showing your pets details and listed vaccination history will suffice. Please note: Kennel Cough is not required for your pets stay. Due to the nature of the live vaccine - we cannot accept pets who have received treatment less than two weeks prior to their stay.
Cancel
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Any allergies or food sensitivities?
*
Please provide brief information about feeding patterns (including amounts e.g. Dry Kibble - 100g AM/PM)
*
Please provide brief information about usual exercise/enrichment at home
*
Is your pet permitted to have treats? We only feed freeze dried chicken or Turkey
*
Yes
No
Vet Details
Practice Name
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Postcode
Postal / Zip Code
Pet Insurance Details
Name of provider
*
Policy number
*
Booking - Consents
Please note: All interactions between dogs from different households are closely supervised and monitored, in full compliance with the regulations of our Home Boarding license from Wakefield Council.
Booking - Terms and Conditions
Signed
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Submit
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