Home Boarding Further Information

Nearly Done - Promise!

Thanks for getting in touch. Before we go any further, we just need you to complete our registration form.
We know forms aren’t everyone’s favourite thing, but this one is important. It helps us keep dogs safe, happy, and properly cared for while they’re with us. It also gives us a bit of extra information about your dog, so we can make sure we’re meeting their individual needs. The good news? It’s straightforward and usually takes around 5–10 minutes to complete. To make it nice and easy, please have the following to hand:

Vaccination records (including kennel cough)
Microchip details
Insurance information (if applicable)
Your vet’s details

Once this is done, we’ll have everything we need to move forward smoothly. Thank you for taking the time, it really does make a difference to your dog’s care and your peace of mind.

Day Care registration Form V2

Client Details

Full Name

Landline Number

Mobile Number

Address

Address Line 1

Address Line 2

Town

Postcode

Emergency Contacts

For boarding/daycare (this person must be contactable if case of an emergency)

First Emergency Contact

Phone

Second Emergency Contact

Phone

Dog's Details

Name Of Dog

Breed Of Dog

Dogs Date Of Birth

Gender Of Dog

Male

Female

Has Your Dog Been Spayed / Neutered?

Yes

Date of Spay / Neuter?

Upload Vaccination Record

Choose File

Microchip details (Database & Number

What Flea & Worming treatment do you use?  

Is your dog insured?

If YES please provide the insurers details, including policy name and number.

Is your dog a rescue dog?

Date adopted?

What do you know of their history? (if known)

More about Your Dog

What kinds of activities does your dog like to do? (E.g. playing fetch, Frisbee, balls, chew toys, swimming)

What brand/type of food does your dog eat?

How many times a day do you feed your dog? Please state the amount given at each feed

How often do you walk your dog and for how long?  Please state number of days and minutes for walk.

Is your dog crate trained?

Yes

My dog is good off leash and has good recall

Yes

Have you ever boarded your dog before?

Yes

Duration of stay if yes

Is your dog happy around children of all ages?

Yes

Please give more details:

How does your dog behave around cats?

Has your dog ever bitten another dog or human? PLEASE BE HONEST!!! (This is to protect your dog and ensure they will not be put in a similar situation where they may bite. E.g. Scared of the hoover which caused them to bite.)

My dog is well behaved around:

My dog:

How does your dog react to strangers entering the home or passing by?

Please declare any behavioural issues that your dog has/may have. (E.g. Food/lead aggression, separation anxiety, noise-phobic, sock eating, fear of hoover, food/toy possession etc.) 

When my dog barks or growls it could mean:

When my dog whines or cries it could mean:

When my dog wants outside to go to the bathroom he/she will:

What commands does your dog(s) respond too? (stay, off, sit, down, etc.)

Vet & Health Care

Vets Details

Name of Practice

Telephone of Practice

Address

Address Line 1

Address Line 2

Town

Postcode

Please list any current health problems; joint issues, long term conditions or concerns you may have with your dog (any fatty lumps? History of fits?): PLEASE LIST ANY/EVERYTHING NO MATTER HOW MINOR

Is your dog on any medication, restricted exercise or is having at home vet care? If so please list medications or additional instructions for care:

Does your dog have food allergies or any snacks or foods he/she is NOT allowed to have? (E.g. Pig ears, raw hides, gluten etc.)

Owner Agreement

I hereby certify that my dog(s):

Is/are in good health and has/have not been ill with any transmittable condition in the last 48 hours. I further certify that my dog(s) has/have not harmed, shown aggression or threatening behaviour towards any person. I have also submitted any details regarding aggressive behaviour towards other dogs that my dog(s) has/have shown. I have read and understand the following:

I understand that I am solely responsible for any harm caused by my dog(s) while my dog(s) is/are attending A Groom With A View Day Care.

I further understand and agree that in admitting my dog(s) to a Groom With A View Day Care, the staff members are relying on my representation of my dog’s health and behaviour towards people and other dogs.
I understand and agree that A Groom With A View Day Care and their staff, will not be liable for any problems that develop, providing reasonable care and precautions are followed. I hereby release them of any liability of any kind arising from my dog(s) attendance and participation at the Day Care.
I further understand and agree that dogs can sometimes receive minor cuts and scratches at day care and any problems that arise with my dog(s) will be treated as deemed best by staff of A Groom With A View Day Care, at their sole discretion. I assume full financial responsibility for any and all expenses involved.
I give my consent that, if needed, I allow A Groom With A View staff to walk my dog(s) out of the premises on lead.
I understand that A Groom With A View use Collingham Vets as their Vets practice, and that my dog(s) may be taken here for treatment or advice if needed.
I understand that A Groom With A View have a 3 strike policy on disruptive behaviour, if intervention via distraction techniques fails, after 3 strikes my dog(s) will be excluded from attending.
I give permission for A Groom With A View Day Care to administer my dog’s medication and to feed as required and instructed by owner.

9. I give permission for A Groom With A View Day Care to use my email address and personal information to contact me and to use as deemed necessary. Please tick appropriate box:

I Agree

I Disagree

11. I also give permission for A Groom With A View Day Care to take and use photos of my dog whilst in our care including the use on social media. Please tick appropriate box:

I Agree

I Disagree

10. I also confirm I have read and fully understood the information presented in the ‘Dog Day Care General Information and Policies’ (Please see pages 2 & 3). Please tick appropriate box:

I Agree

I Disagree

11. Bitches who come into season must be collected at the earliest convenience from both daycare and boarding. We cannot be held responsible for any incidents that occur should a bitch be in season whilst in our care. It is the owners responsibility to inform the staff of any behavioural or bodily changes that indicate a season may be starting

I Agree

I Disagree

12. I give permission for our dog, even if multiple from the same family are able to mix together and sleep in the same area unless I as the owner give written instructions for my dog to be kept separate at certain times

I Agree

I Disagree

I certify that I have read and understand the policies of A Groom With A View Day Care as set forth on the preceding pages and that I have read and understood the conditions and statements of this agreement.

Signature

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