Doggy Day Care / Play Days Registration Form
People - Dogs - Harmony
Owner/Guardian's Name
*
First Name
Last Name
Full Address
*
Address Line 1
Address Line 2
City
State / Province
Post Code
Please Select
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eSwatini
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Tonga
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Vietnam
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Isle of Man
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Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Post Code
*
Phone Number (Landline)
-
Area Code
Phone Number
Mobile Phone
*
Email
*
Will there be times where someone else will collect your dog(s)?
*
Yes
No
2nd Contact Name
First Name
Last Name
2nd Contact Telephone Number
Is your enquiry about Doggy Day Care or Play Day Saturdays?
*
Doggy Day Care
Play Day Saturdays
Both
For Day Care what day(s) are you looking for your dog(s) to attend (minimum 1 day per week)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Does your dog currently attend or has attended another Doggy Day Care before?
*
Yes
No
If So, please give details here
*
Is your dog(s) friendly and sociable with other dogs?
*
Yes (All Dog Types)
Sometimes
Only for dogs that it knows well
NO
Please give more details here. Please note that all dogs attending day care MUST be sociable and friendly with all types of dogs.
Back
Continue to Dog Details Section
Dog's Name
*
Dog Breed
*
Male or Female
*
Male
Female
Date of Birth (if known)
-
Day
-
Month
Year
Date Picker Icon
Dog's Age
*
Have you owned your dog since 8 weeks? If not, how long have you owned your dog?
*
Microchipped
*
Yes
No
Spayed / Neutered?
*
Yes
No
Is your dog up to date with it's vaccinations
*
Yes
No
Kennel Cough Treatment?
*
Yes
No
Date of next Booster (Kennel Cough)
Is your dog regularly Flea/Wormed in line with veterinary recommendations?
*
Yes
No
Please note any medical or dietary requirements below (if any). If none then please state 'none'.
*
Please note details of any history of fights/bites (either your dog being attacked/bitten or your dog attacking/biting). If none please input none.
*
Has your dog attended Training Classes?
*
Yes
No
Has your dog been subject to a dog control notice (under the control of dogs Scotland act 2010)?
*
Yes
No
Back
Continue to Vet Details Page
Vet Name
*
Vet Address
*
Vet Contact Number
*
Are you happy for Kintala to contact your Vet direct, if required?
*
Yes
No
How did you hear of Kintala?
*
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