New Customer

Owner First Name

Owner Surname

Address

Suburb

Phone

Alternative Contact NAME in case of !!! EMERGENCY !!! (NOT your spouse/partner).

Alternative contact Phone Number

Referred by

Please fill out the 2nd pet form below, if you wish to book in a 2nd pet

Pet’s Name

2nd Pet’s Name

Breed

2nd Pet’s Breed

Weight

2nd Pet’s Weight

Colour

2nd Pet’s Colour

D.O.B or Age

2nd Pet’s D.O.B or Age

Diet

2nd Pet’s Diet

Medication (if any)

2nd Pet’s Medication (if any)

Veterinary Clinic

General Comments

Booking Dates From (YYYY-MM-DD)

Booking Dates To (YYYY-MM-DD)

Check out time (NOTE after 11am you will incur an extra day charge)(required)

11am 7 days per week Mon – Fri 3pm to 6pm Sat – Sun by 4pm

Accommodation Required(required)

Hotel Suite (includes a daily walk and all day playing/socialising) Motel Kennel (includes a daily walk and all day playing/socialising) Hotel Suite Cat Motel Cattery

Extra Pine Forest Walk or Paddock Playtime ($15 per day)

Every day Every 2nd day Other

If OTHER for above, please state below your requirements

Please confirm your dog is social with other dogs & people(required)

Yes No I'm booking a cat

I CONFIRM my dog is not registered as a DANGEROUS DOG or has any other such restrictions.(required)

Yes I'm booking a cat

If you agree to the terms and conditions please tick

Your message has been sent

Please fill out the 2nd pet form below, if you wish to book in a 2nd pet