Doggy Daycare Form

First Name *

Second Name *

Email Address *

Phone Number *

Street Address

Suburb

Postcode

Check-In Time & DateTime, DD/MM/YYYY

Check-Out Time & DateTime, DD/MM/YYYY

Items you’ll leave with your dog *e.g. bed, lead, toys, food

Who will collect your dog? *If it is someone other than you, please provide their Name and Phone Number

Emergency Contact's First Name *

Emergency Contact’s Second Name *

Emergency Contact's Phone *

Relationship to you

Do you authorise this person to make decisions about my pet’s healthcare if you are not available? *

YesNo

Dog's Name *

Colour/markings

Breed

Weight

Age or Date of Birth *

Sex of your pet *

MaleFemale

Has your pet been desexed? *

YesNoNot sure

Is your pet microchipped? *

YesNoNot sure

Is your dog’s C5 (or equivalent) vaccination up to date? *

YesNoNot sure

Any current or ongoing medical conditions? *

Has your dog had coughing, vomiting, or diarrhoea in the last 48–72 hours? *

Is your dog currently taking any medication or supplements? *Medication name, dose/strength, form, time(s) to give

Regular veterinarian/clinic *

May we request records from your usual vet if needed? *

YesNo

Currently protected against (select all that apply):FleasTicksIntestinal wormsHeartworm

Last dose date and product name for each (if known)

With other dogs *

With new people *

Any bite history or incidents? *

YesNo

If yes, please provide a brief note of the incident(s)

Handling notes or triggers

Join supervised group play? *

YesNo

Feeding schedule (times/portions) *

Will you supply food? *

YesNoNot sure

Treats permitted? *

YesNo

Any known food allergies or sensitivities

Flea treatment on admission (required) *If live fleas are found, we’ll apply a fast-acting treatment on admission and add the cost to your account

Emergency treatment authorisation (required) *If we cannot reach you, I authorise necessary veterinary treatment up to $____.

Transport consent (required) *I consent to my dog being transported to my usual vet or a 24-hour hospital if required.

Photo/social media (optional)I consent to photos of my dog being used on our social channels

Payment terms *I understand a 50% deposit confirms the booking and the balance is due on pick-up.

Declaration & agreement *By submitting this form, I confirm the information provided is true and I am the owner or an authorised carer. I accept the policies above and agree I’m responsible for all charges for my dog’s care.