Booking Form - Daycare

Name:

Address:

Phone:

Email:

Emergency Contact: (name & number)

Days doggy daycare required:

Approximate time you will be dropping off your dog.
(N.B. we are unable to accept dogs between 8:00am and 09:00 am)

Approximate time you will be collecting your dog.

Person nominated to collect your dog if you are not doing so:

Breed of Dog:

Age:

Vet: (name, address & phone)

Vaccination Date:

Microchip/Council Tag Number: (if applicable)

Do you grant us permission to transport your dog in our vehicle:
(Required for trips to the beach, Kcc Park etc.)

Yes No

Do you grant us permission to give your dog reward treats whilst in our care:

Yes No

May we feature photos of your dog whilst out walking, on our website:

Yes No

Feeding Requirements: (Frequency, time of meals etc)

Behavioural Issues: (Separation anxiety,
aggressiveness, barking, digging, destructiveness)

Medications / Health Conditions /Allergies:

General Information / Instructions:

Terms & Conditions:

1. All dogs to be fully immunised: C5 2. We will take every precaution to ensure your pet has a happy and safe stay, but Melbourne Pet Minders will not accept responsibility for Canine Influenza, loss/escapes, injuries, illness or any kind of death. 3. In the event that it is necessary for the proprietors of Melbourne Pet Minders to seek veterinary assistance without the consent of the client who may be unavailable to provide such consent, then the client agrees that the cost of any procedure undertaken as a result will be their full and financial responsibility. 4. Under part (5) of the Domestic (Feral and Nuisance) Animal Act any animals that is not collected within 7 days of the nominated date will be disposed of at Melbourne Pet Minders discretion. All monies owing, including fees and costs relating to the disposal, shall be payable by the owner forthwith after receipt of Melbourne Pet Minders advice as to the amount thereof. If the costs are not paid as provided above, legal proceedings will be instituted without further notice. 5. Payment is required weekly in advance. Payments are non-refundable, except under exceptional circumstances and at the sole discretion of Melbourne Pet Minders. 6. Melbourne Pet Minders reserve the right to refuse any animal and no reason shall be given. 7. The owner acknowledges that the signing of this contract shall create a lien over the animal in favour of Melbourne Pet Minders, this lien shall continue to exist while ever monies are owing pursuant to the contract. 8. The client specifically represents that he or she is the sole owner of the pet/s free and clear of all liens and encumbrances 9. All charges incurred by the client must be paid before the pet leaves the facility.

Agree to T & C:

Accept Decline

Please note that bookings cannot be accepted unless terms and conditions are agreed to.

By clicking the 'Submit Booking' I hereby confirm that the information that I have provided to Melbourne Pet Minders, is to the best of my knowledge true and correct.