care without compromise · ph: 09 810 8612 | 103 bethells rd, henderson, auckland 0781 email:...
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Care without compromise
Ph: 09 810 8612 | 103 Bethells Rd, Henderson, Auckland 0781
Email: [email protected] | Web: www.teamokennels.co.nz
Information Booking Sheet
Owners Details:
Owners Name:
Address:
Home Number: Mobile Number:
Email Address:
Alternative Contact: Mobile Number:
Dogs Details:
Dogs Name:
Breed:
Sex: Male Female
Desexed: Yes No
Date of Birth or Age:
Vet: Vet Number:
Has your dog been in a kennel before? Yes No
Which of these characteristics would best describe your dogs personality (tick all that’s applicable.)
Friendly sociable timid shy anxious boisterous
Mildly aggressive independent aggressive territorial
How does your dog interact with others? Well Not well
How does your dog react to strangers? Well Not well
Care without compromise
Ph: 09 810 8612 | 103 Bethells Rd, Henderson, Auckland 0781
Email: [email protected] | Web: www.teamokennels.co.nz
Dogs Details continued:
Do you want your dog socialised with other? Yes No
Are there any behavioural tendencies the kennel sta� should know about ie, tries to bite handler when being led by hand at the collar? No Yes (write details below)
Does your dog su�er from any medical conditions ie skin allergies, excessive eye weeping or had medical treatment we should know about? No Yes (write details below)
Does your dog su�er from separation anxiety?
No Yes (write details below)
Care without compromise
Ph: 09 810 8612 | 103 Bethells Rd, Henderson, Auckland 0781
Email: [email protected] | Web: www.teamokennels.co.nz
Booking Details:
Drop o� Date: 9.30 am 10.00 10.30 11.00
4.00 pm 4.30 5.00 5.30 6.00
Pick Up Date: 9.30 am 10.00 10.30 11.00
4.00 pm 4.30 5.00 5.30 6.00
Total number of days:
Other Services: Bathing Training
Office Use:
Vaccinations Current: Yes No
How did you hear about us?
Yellow Pages Vet Word of mouth Friend Other
ID Photo Taken? Yes No
Te Amo Kennels will not be held responsible for any loss, injury incurred or event regarding your dog as a result of any information not supplied on this sheet or not communicated verbally to kennel sta�.
All bedding/baskets must be marked clearly. We wash bedding frequently, so please mark it permanently. We can not be held responsible for loss of these items, including toys.
Should we decide, at our sole discretion, that veterinary advice or treatment is necessary, we are hereby authorised to obtain such advice or treatment from a veterinarian of our choice and that the dogs owners are liable for fees incurred, including a $20 time/transport cost per visit.
I agree to the terms and conditions set out above.
Name: ______________________________________ Date: ______________________________________
Signed: _________________________________________________________________________________