Durban Dog Hotel Reservation Form
Owners Name *
Owners Address *
Cell Number *
Email Address *
Emergency contact (Other than Primary Number) *
Dogs name *
Breed *
Sex *
Age of Dog *
Spayed/neutered? *
Copy of Vaccination been sent? *
Date of last tick and flea treatment? *
Name of vet and contact number? *
Medical conditions (If Any) *
Medications (If Any) *
Is your dog allergic to anything? *
If yes, please specify what
Does your dog have a sensitive stomach? *
Check in date and time *
Check out date and time *
How did you hear about us? *
Does your dog ever leave the house? *
If yes to go where
Does your dog have interaction with pooches outside the home? *
Has your dog ever bitten a person or dog before? *
Has your dog ever tried to escape your property? *
Should your pooch be a fussy eater, or just miss mom and need some comfort food, do you give us permission to add chicken and rice to the kibbles at a cost of R 35.00 per meal? *
Do we have permission to administer Calmeaze should your baby be nervous during a storm, at a cost of R 15 per tablet? *
Does your dog have any behavioral issues we should know about? *
If yes please give short description
Would you like a bath, dry and brush on check out at a cost of R 100 for smalls and R 150 for large breeds? *
Have your read our terms and conditions on our webpage and agree to them? *
Would you like to donate your leftover food to Valley Dogs - A dog Rescue Organisation? *
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