Booking Form – Doggy Daycare Doggy Daycare Booking Form Please fill out this form to book in your pet for daycare at our home. We will get back to you within 24 hours to discuss and confirm your booking time and options. Your DetailsName*FirstLastPhone*Email*Enter EmailConfirm EmailAddress*Street AddressAddress Line 2CityAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaStatePost CodeEmergency Contact*FirstLastEmergency Contact Number*Your Pet's DetailsDog's Name*Breed(s)*Colouring*Age*Sex*MaleFemaleIs your dog de-sexed?*YesNoVet Details*Name, Address & Phone number.Vaccination Date* Microchip/Council Tag NumberIf applicableBooking OptionsDays required*MonTueWedThuFriSatSunDrop off time*Approximate time you will be dropping off your dog : HHMMAMPMPickup Time*Approximate time you will be collecting your dog : HHMMAMPMNominated Pickup PersonName of the person you nominate to pickup your dog if you are not doing so.FirstLastDog Walking*Do you grant us permission to walk your dog?YesNoNot ApplicableTreats*Do you grant us permission to give your dog reward treats whilst in our care?YesNoTransport*Do you grant us permission to transport your dog in our vehicle: (Required for trips to the beach, Kcc Park etc.)YesNoPhotography*May we use photographs of your dog on our website and Facebook?YesNoFeeding requirementsDoes your pet have any specific feeding requirements or needs?Behavioural IssuesSeparation anxiety, aggressiveness, barking, destructiveness, etc.Medications and Health ConditionsPlease provide details of any medication your pet requires and any health conditions we need to be aware of.General Information and InstructionsIndoor or Outdoor?*Where does your dog usually live?IndoorOutdoorMixture of bothAllowed on Furniture?*If an indoor dog, is it allowed on furniture?YesNoToilet Training*Is your dog toilet trained? If no or unsure, please elaborate below.YesNoUnsureToilet training detailsGood With Other Dogs?*Does your dog get along with other dogs? YesNoSometimesDetailsPlease elaborate.Behaviour Around Children*How is your dog's behaviour around children?Additional PetsAdditional PetsIf more than one pet being booked in please add the additional details here.Terms and Conditions1. 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. *I agree to the terms and conditions.AcceptNameThis field is for validation purposes and should be left unchanged.