Client Registration

PUGGEROOMIE

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Client Registration
Repeat Bookings

Home
About
How it works?
Services/Prices
Activities
Contact
About us
Publications
Testimonials
Dog Gallery
T&Cs
FAQs
My Hobbies
Blog
-
Client Registration
Repeat Bookings

PUGGEROOMIE

Please ONLY Complete this form when your required dates have been confirmed by Puggeroomie.
This form is for first time registrations ONLY with confirmed bookings.

Personal Details.

* Indicates required field

Dog(s) Owner(s) Full Name(s). *

Landline Number. *

Mobile Number. *

Work Number. *

Home Address Including Postal Code. *

Email *

Emergency Contact details.
This person must be somebody you trust who can act in your absence as 'next of kin':-

Emergency Contact Name. *

Landline Number. *

Mobile Number. *

Home Address Including Postal Code. *

Work Number. *

Email. *

Pet Details.

Name of Dog ONE. *

Microchip Number. *

Microdhip Company Name. *

Date Of Birth. *

Breed *

Colour *

Gender. *

Neuter Status *

YES NO

Name of Dog TWO. *

Microchip Number. *

Mircochip Company Name. *

Date Of Birth. *

Breed. *

Colour. *

Gender. *

Neuter Status *

YES NO

Name of Dog THREE. *

Microchip Number. *

Microchip Company Name. *

Date Of Birth. *

Breed. *

Colour. *

Gender. *

Neuter Status *

YES NO

Name of Dog FOUR. *

Microchip Number. *

Microchip Company Name. *

Date Of Birth. *

Breed. *

Colour. *

Gender. *

Neuter Status *

YES NO

Do You Own More Than FOUR Dogs? If Yes, Could You Please Add Their Details In The 'Space For Extra Notes' Section Below. *

Yes No N/A

Veterinary Details.

Veterinary Name, Address and Postal Code. *

Veterinary Telephone Number. *

ANIMAL WELFARE SECTION.

Insurance Details.

Do you have your dog(s) Insured? *

YES NO

Pet Insurance Company Name *

Policy number if willing to disclose. *

Flea Treatment Name. *

Date of Last Flea treatment. *

Worm Treatment Name. *

Date of Last Treatment. *

Feeding Instructions.

Brand Name of Food. *

Quantity of Food Per Feed. *

How Many Times A Day Do You Feed? *

Special Instructions and Dietary Requirements. *

If You Allow Treats. What Treats Do You Allow? *

Health.

Does Your Dog(s) Have Any Medical Conditions Or Health Issues? *

Does Your Dog(s) Have Any Allergies? *

Is Your Dog Currently Taking Any Medication? *

Yes No N/A

If Your Dog Is Taking Medication, Are You Happy Puggeroomie Administer As Per Instructions? *

Yes No N/A

Please Note, Puggeroomie will only administer medications from your vet in original dosage labelled packaging. Or by written veterinary instructions. You will also be asked to complete a signed medical disclaimer.

Dog Walking.

Do You Walk Your Dog(s) Off Lead? *

Yes No N/A

Would You Like Puggeroomie To Walk Your Dog(s) Off Lead In Safe Areas? *

Yes No N/A

Please Tell Puggeroomie How Many Times You Walk Your Dog(s) A Day & For How Long? *

Does Your Dog(s) Chase Cyclist? Horses? Joggers? How Does Your Dog Behave Around Children? Please List Any Behaviour/Character Traits Puggeroomie Ought To Be Made Aware. This can also include things like scratching, barking and chewing. *

Has Your Dog Ever Been Attacked Or Bitten By Another Dog? *

Yes No N/A

Does Your Dog(s) Like To Walk In All Weathers? *

Yes No N/A

Weather Explanation Box If Needed. *

Please Describe Any Alternative Forms Of Enrichment You May Do At Home With Your Dog(s). This May Be Games You Play To Enhance Their Mental Stimulation. *

Would You Allow Puggeroomie To Bath your Dog(s) Should They Become Dirty On Fun Adventures. *

Yes. They will love a pampering session. No.

Bathing Explanation If Needed. *

Around The Home:-

Is Your Dog(s) House Trained? Please Let Puggeroomie Know How Your Dog May Indicate That They Need To Go To The Toilet? *

Where Does Your Dog(s) Sleep At Night? Please Describe Their Night-Time/Settling Down Routine. *

Communication & Behaviour.

What Commands Or Favourite Words Do You Use/Say To Your Dog? *

Does Your Dog Show Any Resource Guarding Issues? This can be a display of growling or snapping to other dogs or people in order to protect their toys, food, bed or personal space? *

Do They Have A Favourite Toy? Snuggle Blanket? Chew? *

Vaccinations.

Puggeroomie will need to see a copy of your pet health card prior to boarding. We Will Photocopy this and keep it on file. Dogs that have no up to date vaccinations will not be allowed to board at Puggeroomie in compliance with our licence.

To Share Time At Puggeroomie All dogs Need To Be Up To Date On Vaccinations. Is Your Dog(s) Fully Vaccinated? *

Yes No

After Submitting This Form, Are You Willing To Photograph or Scan Your Pet Health Card And Email It To Puggeroomie@Gmail.Com *

Yes No

A space for extra notes.

Please Use This Box As Owners Consent Or Any Other Detail You Feel Is Important for Puggeroomie To Know. *

Social Media Preference *

PRIVATE VIP LOUNGE PUBLIC FACEBOOK BOTH NEITHER

Please Tick That You Have Read and Agree To The Following. *

Puggeroomie Terms & Conditions Puggeroomie Privacy Policy Puggeroomie Disclaimers

Our Terms and Conditions set out an agreement between you the owner(s) and Puggeroomie Limited.
Acceptance of a Booking will confirm your acceptance of our Terms and Conditions. Privacy Policy & Disclaimers Found here. https://www.puggeroomie.com/tcs.html

For any reason(s) you DO NOT agree with our Terms and Conditions, Privacy Policy and Disclaimer. Please Explain. Please note this may affect your booking. *

Full Name *

Date *

Submit

GOSPORT BOROUGH COUNCIL
ANIMAL BOARDING LICENCE. NAME: MRS JOANNE LEE.
LICENCE NO: BOES/165/1

For all Enquires
07494 573230
PUGGEROOMIE@GMAIL.COM