Enrolment Form Enrolment Form Dog's Details Name * Age Date of birth Gender Male Female Breed * Colouring Address p/code Is your dog desexed? * Yes No Are your dog's vaccinations up to date? * Yes No (Please provide a copy) File Upload Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Owner's Details First Name * Surname * Phone Email * Vet's Name Vet's Phone Number Vet's Address Feeding Requirements: Does your dog have any feeding requirements or allergies? If so, please advise: Medications and Health Conditions: Please provide details of any health conditions we need to be aware of: Behavioural issues: Please provide details of any behavioural issues we need to be aware of: Swimming * Yes No Do you give permission for your dog to go swimming in the pond? (please tick) Treats * Yes No Do you give us permission to give your dog treats during our care? (please tick) Photography * Yes No Do you give us permission to post photos of your dog on our website and social media? Does your dog have an account you would like us to tag them in? Please advice Terms and Conditions: All dogs must be fully immunised: C5 All dogs must be on regular flea and tick treatments, however should we find any fleas, the client agrees to the administering of Capstar and accepts the associated cost. We will take every precaution to ensure that your pet is happy and has a safe stay, but we do not accept any responsibility for any; canine influenza, illness or accident. In the event we believe it is necessary for The Dog Ranch to seek veterinary assistance, we will make every effort to contact the nominated emergency contact. However, if we are unable to do so, then the owner agrees to accept full financial responsibility for any treatment undertaken as a result, including any treatment of any injury their dog may have caused to any other dog/s. The Dog Ranch reserves the right to refuse any animal due to aggressive and/or behavioural circumstances. Payments are non-refundable. The owner confirms they have read, understood and agrees to all the terms and conditions. * Yes No Finally, can we ask “How did you hear about us?" reCAPTCHA If you are human, leave this field blank. Submit
