Day Care Registration Form
Please do not complete this form unless you have been asked to do so by a member of staff. Forms completed without discussion with The Barkley will not be followed up on, thank you.
Dog's Name and Breed *
Your answer
Client Name & Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Emergency Contact Details including address and number *
Your answer
Dog's Age & Approx. Weight *
Your answer
Dog's Sex *
Is Your Dog Neutered? *
Does your dog get on well with other dogs? *
When do you require day care? (Days, times) *
Your answer
Do you agree to your dog being in care along side other dogs from other households? This includes spending time during the day in the same room, exercise time and walks. (Please note numbers are always kept small, please ask for details or if your requirements are different). *
Please provide any info we may find useful such as your dog's likes, dislikes, routine, cues known and any games/toys/enrichment your dog likes? *
Your answer
Please provide your vet's name and contact details. Please note that in case of needing veterinary treatment The Barkley is registered with Medivet Biggleswade, which is less than a 5 minute drive away. You will be notified asap if your dog requires veterinary treatment. *
Your answer
Please provide any medical problems, medication, or allergies, past or present. *
Your answer
Please provide a detailed description of your dog's diet, including brand of food fed and times /amounts of food, details of any treats given and anything your dog can not have
Your answer
Please provide details of your dog's vaccination record, including date and description of vaccines given or titre tested for. Please email your up to date record cards to info@the-barkley.co.uk . Please note that dogs may not attend The Barkley until 14 days after primary vaccination. Dogs who have Kennel Cough vaccination may not attend The Barkley until 14 days after it is administered.
Your answer
Please give details of your dog's last worm/flea treatment / tests or preventative measures, including brands of products and dates
Your answer
Please provide your dog's microchip number and name of database (e.g "Petlog") *
Your answer
Where did you hear about us? *
Your answer
Do you agree to us securely storing this form? For full details of our privacy policy please refer to our website. *
I have read, understood and accept the Terms and Conditions *
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Thank you. We will be in touch with you shortly.
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