The Dog House Hotel Dorset

Client Information Form

Owner's name

Address

Phone

Email

EMERGENCY PROXY telephone number

Please provide an emergency contact

Dog's Name

Dog's breed

Ia your Dog Male or Female?

Your Dog's Birthday

Day

Month

Year

Is your dog neutered / spayed ?

VET details

Name, address, telephone number

Is your dog on a Vet Plan

Please give details

All of our Clients are asked to be fully vaccinated. Please check this box to confirm your dog has been vaccinated for the following (with annual boosters):

Canine Parvovirus

Canine Distemper

Infectious Canine Hepatitis (adenovirus)

Leptospirosis

Kennel Cough

Please confirm your dog is regularly flee'd and wormed

Medical conditions, allergies & medication instructions

Dosage, frequency, time of day, method of administration, storage conditions

File upload

Please Provide a copy of your dog's vaccination certifcate

PET INSURANCE DETAILS

Policy number, phone number & out of hours number

With other dogs is your dog:

Your dog's temperament

If you dog has any fears or triggers, please list them above.

The more we know the better we can look after them

FOOD & DIET

Please describe your dog's feeding brand, times (per day) & quantities

Dogs are fed separately at all times
We do not use rawhide products at The Dog House Hotel Dorset

With other dogs is your dog:

If we have to pop out is your dog likely to suffer separation anxiety?

Dog walks - how many walks a day for how long?

We walk all of our dog guests on lead, until a time whereby mutual agreement they can go off lead at Owner’s request.

How strong is your dog on lead? Does he / she pull?

Transport - we take dogs out locally in our car. Are you happy for them to be transported in the back of the car with a seatbelt for safety?

Baths / Showers - are you happy for us to wash your dog is they get mucky? Are they ok with a hairdryer?

What's your dog's favourite thing to do?

What is your dog's bedtime routine?

Please state where they usually sleep at home

Do you use a crate for your dog? If so please state when

Are you happy for us to put pictures of your dog on social media?

I.D tags will be blurred and names won't be used

I agree that in the case of suspected injury or illness to my dog a Veterinary Surgeon (Vet) may be contacted and my dog may be examined and investigations performed if required (e.g. blood tests, x-rays) and an appropriate course of action will be taken on the advice of the Vet.

I understand that where possible any treatments will be undertaken by the dog’s ordinary vet, but maybe at the The Dog House Hotel’s nominated vet, where that’s not possible (Newton Clarke, Sherborne or Medivet Dorchester out of hours).

I agree to The Dog House Hotel administering any prescribed treatment the Vet considers advisable. I understand that the veterinary consultation, tests and treatment will be at my own expense.

I also give consent for euthanasia should this be recommended on humane grounds by the Vet caring for my dog.

I understand that every effort will be made to get in touch with me or my local proxy to discuss an appropriate course of action for my dog and [premises] will endeavour to keep you (or proxy) updated throughout the process.

I agree that if my dog contracts fleas or worms then The Dog House Hotel will take the dog to the Vet to arrange an appropriate treatment and charge the vets bill to me. If flees or worms are found upon arrival The Dog House Hotel Dorset retain the right to refuse accommodation & no refund will be given.

I consent to my dog mixing with dogs from other households whilst boarding at The Dog House Hotel Dorset.

I consent for my dog(s) to be walked outside of the home environment or garden. I consent for my dog to be let off a lead outside of the home environment with mutual agreement.

I consent to my dog(s) being walked within a group of dogs from other households (never exceeds 6 dogs)

(Only tick if your dog normally uses/sleeps in a crate)

I consent to my dog being kept in a crate as part of its normal routine.

(Only for customers boarding more than one dog) I consent to my dogs being kept together.

Date

Day

Month

Year

Signature

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